Published eLetters
If you would like to comment on this article, click on Submit a Response to This article, below. We welcome your input.
Jump to comment:
- Page navigation anchor for Fragmentation in healthcareFragmentation in healthcareKurt, Thanks for your commentary on fragmentation. The focus of care must be on the patient and not those that provide services for compensation. The right question for the patient with fatigue is "What is going on in your life?" The physician must be thinking "What is making this person sick?" or "Why do they need to be sick?" After you have gone through that exercise then it is OK to check for anemia. Fragmentation is largel...Show MoreCompeting Interests: None declared.
- Page navigation anchor for The First PrincipleThe First PrincipleShow More
Kurt, this is a very important series. Congratulations! The basic problem is that so many GPs have ceased to honour the first principle of general practice (Family Medicine). The principle is that whatever problem our patients bring to us, we will never say: “I don’t do this.” If I think you need a specialist, I will find an appropriate specialist for you, but whatever he or she does for you, I still will be your doc...
Competing Interests: None declared. - Page navigation anchor for Fragmentation: We Might Know More Than We Think We KnowFragmentation: We Might Know More Than We Think We KnowShow More
Fragmentation of healthcare has been branded in the Editorial [1]. At about the same time of its publication, the Dutch Inspectorate of health care aired its concerns of the fragmentation of cancer care in The Netherlands: even within the care of a single patient, oncologists, surgeons and radiotherapists are often working from their own agenda – an observation stressing the essential point of the editorial.
Fragm...
Competing Interests: None declared. - Page navigation anchor for Bravo!Bravo!
I thank you for eloquently voicing the ideas that have also been circulating in my head the last several years. More people need to read these essays. I hope you send them to members of Congress and to President Obama.
Competing interests: None declared
Competing Interests: None declared. - Page navigation anchor for Reintegration could involve also improvement of the truncated clinical methodReintegration could involve also improvement of the truncated clinical methodDear Editor of the Annals Kurt C. Stange,Show More
I congratulate this Annals’ series, and am very impressed with your first article. The US system faces similar problems [1] as all developed nations, plus the inequality of only 67% of easiest access to low quality and cheap primary preventive and healing centered-patient care. This contrasts with 100% of the smoothest egalitarian entrance in the world highest quality and expensive e...
Competing Interests: None declared. - Page navigation anchor for fractured care and the need for integrated medical practicefractured care and the need for integrated medical practiceShow More
Great article! As the President of an acute care inner-city hospital and a board certified family physician, my perspective has a peculiar twist. The fractured care is a direct result of the way we organize ourselves and the way we keep score. We organize ourselves by design and by history into small units of care that are linked loosely to form channels of care. Most of these units are independent and narrowly focus...
Competing Interests: None declared. - Page navigation anchor for Smart Healthcare: Integrative Solutions supporting a Comprehensive Healing RelationshipSmart Healthcare: Integrative Solutions supporting a Comprehensive Healing RelationshipShow More
The single most import part of healing is the RELATIONSHIP it is the very foundation that healthcare of value starts with -- has to start with. To carry that one step further this relationship has to support the longitudinal comprehensive care of our patient built on a strong base of primary care and prevention. Smart healthcare can support that relationship by improving communication. It can allow expanded communicati...
Competing Interests: None declared.