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“Good Insurance”
It all started innocuously enough in the week leading up to Christmas in 2019 with a runny nose, a cough, and some fussiness. All pretty standard for... -
Lessons from Steward and the Need for Primary Care Reform in Massachusetts
The Steward Health Care system collapse has raised alarm bells and activated a crisis response from many levels of Massachusetts’ political and... -
Protecting Foster Care-Involved Youth with Asthma in the District of Columbia
In the 17th annual Child Fatality Review Report, the DC Child and Family Services Agency (CFSA) disclosed the death of a 9-year-old female involved...
Archive
Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.
Where does the individual physician fit in the new medicine?
By Steven A. Barrett, MD, FAAFP I am realizing that practice management in the new medicine is derived more from “group-think” than individual initiative. While this might work well for large medical organizations, where does it leave the imaginative individual physician trying to create improved medical care delivery systems? Of course, I am speaking from personal experience and raising this issue as a challenge to our medical system to be more open and inclusive and take advantage of all available bright ideas for improvement. ...
Trust - Abundant Team Principles
Effective models of trust: How can you incorporate the all-important ingredient of trust within your healthcare team? Once upon a time, it was possible for a doctor to hold most of what she needed to know to practice medicine within her own brain. This was long before Google and before medicine was carved up into specialties and sub-specialties. The advances brought on by the information age and technology mean that no individual can know all there is to ...