Patients with insurance, the theory went, would have better access to internists, family practitioners, and pediatricians, lessening their reliance on emergency rooms for routine care.
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His physician, Dr. Lucy McBride of Foxhall Internists in Washington, D.
The reason this is so important is that primary care physicians, internists, family practitioners and others, are being driven out of business by rising administrative expenses.
Back in March, I wrote about the Health Tracking Study Physician Survey, which showed that internists are 8.5 times as likely to reject all Medicaid patients, as compared to those with private insurance.
Even so, in a recent survey done at the University of Chicago Medical Center, 45 percent of internists who filled out the anonymous questionnaire said they had used a placebo at some time during their clinical practice.
The additional paying customers with what many believe will be a pent up demand for medical care service are already expected to stress the health care system, putting more pressure on primary care doctors like internists and family doctors.
Once it gets in the physician's door, Abaxis has a relatively easy case to make: The Piccolo's results are quick and accurate, and internists and family doctors, who might use a half-dozen disks a day, can recoup their investments in a hurry.
We could create coaching programs not only for surgeons but for other doctors, too internists aiming to sharpen their diagnostic skills, cardiologists aiming to improve their heart-attack outcomes, and all of us who have to figure out ways to use our resources more efficiently.
At Kaiser Permanente Northern California, a group of nonprofit hospitals and health plans with 3.2 million members, pediatric patients receive a letter when they turn 18 inviting them to choose their own doctor among a group of internists and family physicians who have a special interest and training in young adult issues.
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The study also comes as government and private insurers emphasize the importance and need for primary care doctors like internists through so-called Accountable Care Organizations (ACOs) that take responsibility for keeping patients out of the hospital and emergency room and helps patients manage their conditions by getting them to take their medications appropriately and coming back for needed appointments.
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