Common Disorders Commonly Occur And Rare Ones Rarely Happen Essay

Katz states, “the conviction that physicians should decide what is best for their patients, and, therefore, that the authority and power to do so should remain bested in them, continued to have deep hold on the practices of the medical profession “(214).

Physicians located within wealthier and more populous areas have slightly better access to equipment and infrastructure, but the conditions differ only slightly. Doctors are extremely rushed with a constant overflow of patients and consistently working in hot rooms with little air circulation. This is problem does not only exist in the public clinics of general physicians. Specialist physicians have a persistent flood of patients who do not need a specialist’s care, but seek the specialist because there is no general physician available.

New discoveries spawn more medical research in medical colleges. In 1910, Abraham Flexner of the Carnegie Foundation publishes his study on medical education, and induces major medical education reform. Medical knowledge flourishes and specialists account for 20% of physicians in 1940. Hospitals begin to embellish new medical technology as physicians relied on the hospital as a source of access to new technology and as a facility in which to care for their sickest patients. (Writer, Dominguez, 2011, 2-6)

There is a growing trend where physicians are choosing different specialties instead of choosing primary care, primarily due to the low reimbursement rate in primary care. According to Iglehart (2014),” the Association of American Medical Colleges (AAMC) still projects a shortage of 130,000 physicians by 2025, split almost equally between primary and specialty care” (para. 1). With this decline comes an answer, an increase in the number of nurse practitioners providing patient care, reported 154,00 in 2012 and growing every year (Iglehart, 2014). This increase in nurse practitioners’ helps fill that gap, allow greater health care access to the community, especially special populations. By gaining access to healthcare were a nurse practitioner is the provider not only with the special population have high quality affordable health care, a trusting long lasting relationship will develop. This relationship will break the barriers of; lack of trust, lack of health care education and discrimination. Nursing is a trusted profession that provides education and care that no other health care professional

There is an imbalance between primary and specialty care services in the U.S. health care delivery system.

Blendon, R. DesRoches, C. Brodie, M., Benson, J. Rosen, A., & Schneider, A. (2002). Views of practicing physicians and the public on medical errors. New England Journal of Medicine. 347, 1933-1940.

Currently, there is still a large shortage of primary care practitioners in the United States. The margin between available providers and those in need continues to grow. Many people without proper access to care have to delay seeking help for what ails them ("Health Wanted," 2012). Glicken & Miller (2013) state that approximately 16,000 primary care providers would be necessary to meet the existing demand. Rural communities would represent the area of greatest need followed closely by low-income urban areas. The number of underserved individuals is estimated to have reached fifty-seven million. This demand will only increase, as 52,000 primary care providers are expected to be needed by the year 2025 (Glicken & Miller, 2013, p.1883-1889).

The decline in hospital capacity was accompanied by a rise in staffing. Full-time equivalent personnel rose (Malagi & Kamath, 2016). Most of the additional personnel in hospitals are not focused on patient care but management or administration purposes. The American Hospital Association data shows that outpatient department visits have risen per 1,000 persons indicating that capacity for ambulatory services has risen overtime. Emergency departments have reduced with a larger percentage of closures being in rural areas. Compared to hospitals, physicians have continued to increase. Specialists have increased except for radiologists and general surgeons. There is, however, an uneven distribution of physicians between rural and urban areas. There is an estimated shortage of 3,000 physicians in nonmetropolitan areas. In addition to an increase in physicians, there are new forms of acute-care facilities. There are relatively new facilities that have been accredited. Ambulatory surgery centers have, for instance, risen (Best et al.,

Primary care physicians are vital to prevention. These physicians are a patient’s first line of contact with the healthcare system and they have the difficult task of conducting checkups to screen for all diseases. Unfortunately, it is much more common for a medical student to specialize in another field due to a much greater salary and more narrowed scope of practice. As a result, the number of specialists is much greater than the number of primary care physicians, creating a

When it comes to health care in the United States, the initial thought many people have are the many growing controversies concerning Obamacare, vaccinations, and making sure all Americans have access to affordable and quality health care. However, what many people fail to realize is a certain aspect in the medical community that, since the early 80’s with the infamous study by Berkman and Frankel, is increasing at such a tremendous rate that the Columbia Medical Review has referred to it as an “epidemic in the medical community.” The statistics regarding the number of individuals who die each year due to medical errors is rising; slowly becoming a major concern in the field. Doctors are busy individuals and at the end of the day still

When a counselor has a new client they are working with, the client has to be assessed. When being assessed the counselor has to determine what issues the client may have. Through being assessed, the counselor may come to realize the client has more than one issue which is called co-occurring disorders. At this point the client will have to be treated for more than one disorder to effectively overcome the problems they are facing. Within this paper one will locate the prevalence of co-occurring disorders, mental health and substance abuse

Compared to many other countries, the United States has a healthcare system much more focused on specialists than general practitioners. Instead of using primary care providers as the gate keepers, many patients seek care directly from specialists. Additionally, with the constant pressure of malpractice or improper practice accusations, primary care providers are less willing to provide services outside of the basic realm of general care. This leads to an abundance of specialist referrals, many of which might be unnecessary. Further, evidence shows that specialists are generally compensated at a higher rate than general practitioners. This combination of factors has led to and is continuing to foster reduced numbers of general practitioners and increasing numbers of specialists. This trend may become a danger to the industry. General practitioners are crucial in maintaining population level health, increasing access, and reducing costs. As the number of general providers dwindles we risk returning towards a healthcare system with limited access. If we want to reverse this trend, we must recreate the norm that relies on general practitioners as a trustworthy and competent first line of service. This will require incentivizing medical professionals to train as general practitioners and reassuring individuals that these providers can provide a variety of services. Renewing the trust and utilization of general practitioners can ultimately lead to reduced costs and increased

There is a spread of co-occurring disorders (CODs) seen in offenders who have committed sex crimes they include mood, substance abuse, obsessive-compulsive, antisocial, avoidant, narcissistic, paranoid personality disorders, impulse control, anxiety, and eating disorders (Guidry & Saleh, 2004). In a study done by Guidry and Saleh (2004) prevalence rates of the above mentioned CODs they include 82% were diagnosed with a mood disorder, 50% with an anxiety disorder, anxiety disorders were diagnosed at close to 40% with social phobia being the most common (Guidry & Saleh, 2004). There clinical syndromes seen in non-sexual offenders they include mania, somatoform,

Everyone in America, is at risk for being diagnosed with a condition that they don't have, and being prescribed medications they do not need. Its, everyday advertisments on TV for clients who may have had a missed diagnosis, and experienced a side effect from a medication they where prescribed, physicians try to follow national standards of care to protect themselves from lawsuit or even losing their licenses.

The number of physicians in the country has been decreasing at such a great rate that the government and other stakeholders in the health care sector are trying to camouflage this by increasing the number of foreign doctors practicing in the country. The American Medical Association has been trying to promote these re-entry programs designed for physicians since the year 2009 to help curb this problem. There are many people who can see what the problem is, but it is not possible for them to do much about it. Physicians also see this problem, and they are well aware of why the shortage is arising, but they are also unable to do much to prevent the issue. There are many problems that lead to the shortage of physicians, and unless something is done, it will continue escalating ADDIN EN.CITE Lynch19721573(Lynch, 1972)1573157317Lynch, MichaelThe Physician "Shortage": The Economists' MirrorAnnals of the American Academy of Political and Social ScienceAnnals of the American Academy of Political and Social Science82-88399ArticleType: research-article / Issue Title: The Nation's Health: Some Issues / Full publication date: Jan., 1972 / Copyright © 1972 American Academy of Political and Social Science1972Sage Publications, Inc. in association with the American Academy of Political and Social Science00027162http://www.jstor.org/stable/1040122( HYPERLINK l "_ENREF_6" o "Lynch, 1972 #1573" Lynch, 1972).