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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

Most medical practices are still stuck doing piecework. Even the required operational framework for Patient Centered Medical Home recognition is completely top-down. Since we basically don’t have a clue, let alone agreement, about what Quality really is ( see my 2009 post “ Quality or Conformity?

Patients 130
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Is Rural Residence a Risk Factor for Preterm Birth in Iowa? [Women's health]

Annals of Family Medicine

Population Studied: We started with 29,620 deliveries at IHC between May 1, 2009, and May 31, 2023. Instrument: Data was extracted from a detailed database of deliveries from May 2009 to the present. Race, ethnicity, high BMI, insurance, and primigravidity were not independently associated with sPTB. Setting: IHC, Iowa City, IA.

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California Immigrants Weigh Health Coverage Against Deportation Risk

Physician's Weekly

An immigrant without legal status, Maria doesn’t have health or dental insurance. “It’s so expensive,” said Maria, who often works 12-hour days lifting clients in and out of bed and helping them with hygiene, medication management, and housework. When her teeth start to throb, she swallows pain pills.