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#primarycare

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Bích-Mây Nguyễn :verified:

"Sumana Reddy, a primary care physician, struggles on thin financial margins to run Acacia Family Medical Group, the small independent practice she founded 27 years ago in Salinas, a predominantly Latino city in an agricultural valley often called 'the salad bowl of the world.'

Reddy can’t match the salaries offered by larger health systems — a difficulty compounded by a widespread shortage of primary care doctors."

kffhealthnews.org/news/article

KFF Health NewsCalifornia’s Primary Care Shortage Persists Despite Ambitious Moves To Close Gap - KFF Health NewsThe state has in recent years embraced several initiatives recommended in an influential health care workforce report, including alternative payment arrangements for primary care doctors to earn more. Despite increasing residency programs, student debt forgiveness, and tuition-free medical school, California is unlikely to meet patient demand, observers say.
#healthcare#PrimaryCare#physicians
Public
Auscandoc

Canada, Denmark and the Netherlands all have mixed systems of physician payment – some fee-for-service, some capitation, and some salaried.

Physicians in Denmark and the Netherlands, in general, take home markedly less than those in Canada, but have far more administrative support and, it seems, better work-life balance. Unlike Canada, family doctors are paid the same, or more, than other specialists.” #FamilyPhysicians #PrimaryCare med-mastodon.com/@picardonheal

Med-MastodonAndré Picard (@picardonhealth@med-mastodon.com)The Dutch and Danes have demonstrated that every citizen can have a family doctor. Canada needs to learn from them to fix primary care. https://www.theglobeandmail.com/opinion/article-the-dutch-and-danes-have-much-to-teach-canada-about-better-health-care/?utm_medium=Referrer:+Social+Network+/+Media&utm_campaign=Shared+Web+Article+Links
Public
Auscandoc

And under the tree, a #familydoctor for all - Healthy Debate healthydebate.ca/2024/12/topic “My holiday wish is for meaningful progress on improving access to primary care. Universal access to primary care should be the cornerstone of our health system. To address the needs of the 2.5 million Ontarians without a #primarycare provider, we must expand interprofessional teams comprising nurse practitioners, doctors, nurses and other health professionals”

Healthy Debate · And under the tree, a family doctor for all - Healthy DebateIf health-care experts could gift our health-care system with a little holiday magic, what would they wish for?
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Kari J. Lundgren, PhD 🏳️‍🌈

My open-access peer-reviewed article on medical #charting as technical communication came out last week, and I hope others may find it valuable and useful! I argue that looking at actual chart notes can help us to develop and implement curriculum for teaching rhetorical reading and writing principles to providers, thereby positively impacting both #patientcare and administrative efficiency.

doi.org/10.17077/2151-2957.337

PoroiCharting, Rhetoric, and Technical Communication: Improving Primary-Care Progress Notes and Patient Care through Attention to Audience and PurposeMedical documentation--i.e., charting--is widely known to be crucial for patient care, billing, and legal protection, but it is simultaneously largely viewed as tedious, time-consuming busywork that takes clinicians away from patients, especially in the era of electronic health records (EHRs). There has been excellent but limited research on how writing skills (and thus, explicit writing instruction) influence both the charting experience and charting outcomes (Schryer, 1993; Opel & Hart-Davidson, 2019). In this project, I investigate how progress notes within EHRs could be improved if medical providers had more training in rhetoric and technical writing. Specifically, I focus on primary care, as primary-care providers have been shown to spend the most time on EHRs (Rotenstein et al, 2023). I draw upon a corpus of de-identified primary-care progress notes and the insights of primary-care providers, both sourced from clinics in rural Oregon. My major conclusions are that primary-care providers would benefit from being taught how to write with attention to audience and purpose and that rhetoricians of health and medicine have an opportunity to help improve patient charting.<br>
#EHR#rhetoric#RHM
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Front. HS - Health Workforce

New #OA paper: What was the experience of family #physicians in #Canada during the #COVID-19 pandemic? Semi-structured #qualitative interviews with 68 family physicians show numerous additional roles to reduce the risk of #transmission of the virus with the support of their administrative staff. #Pandemic plans must include guidance for the roles taken on by primary care administrative staff..

doi.org/10.3389/frhs.2024.1471

Five smaller circles arranged around a larger one in the middle, which reads: Primary care administrative roles during a pandemic. The smaller circles read: 1. Recognizing administrative staff contributions 2. Maintaining adequate staffing 3. Applying public health guidelines 4. Educating patients on COVID- 19 & COVID-19 services 5. Re-organizing patient visits and workflow
#workforce#hsr#OpenAccess
Public
Auscandoc

New urgent care clinic brings walk-ins back to Kamloops | infotel.ca/newsitem/new-urgent “A new #InteriorHealth urgent and #PrimaryCare clinic in Kamloops is the second for the city, but it's the first in years to offer walk-in access to health care.

Although the new clinic isn't attached to the hospital, she said the services available at both will be the same with a team-based approach that includes physicians, nurse practitioners, registered nurses, social workers and physiotherapists.”

iNFOnewsNew urgent care clinic brings walk-ins back to Kamloops | iNFOnews | Thompson-Okanagan's News Source"This is definitely a step to alleviate the need, but we know there continue to be challenges with people having access to primary care services."
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Brian Pierce MD

New England Direct Primary Care Alliance had our fall meeting this weekend in South Portland with current and interested DPC docs from #maine #massachusetts and #newhampshire

Our new direct dermatologist presented as well as discussions of progress on converting to nonprofit status, using #AI for charting, collaboration with regional information systems and Maine Medical Association.
#primarycare
#directprimarycare
#familymedicine
#internalmedicine #healthcarereform

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