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

A Country Doctor Writes

Its basic argument was that it isn’t sustainable to only see patients one by one in traditional doctor visits. I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. The physician–patient encounter is health care’s choke point.

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Family physicians perform high-quality colonoscopies, but access is an issue

Common Sense Family Doctor

Most patients who choose colonoscopy as a screening test for colorectal cancer are referred from primary care to a gastroenterologist or other specialist who performs endoscopy. But that wasn’t the case for the estimated 1 in 15 US patients whose screening colonoscopies were performed by family physicians in 2021.

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Beyond Training: How Context Matters for Early Detection of Alzheimers Disease in Primary Care [Screening, prevention, and health promotion]

Annals of Family Medicine

Davos Alzheimer’s Collaborative Healthcare System Preparedness (DAC-SP) aims to catalyze global healthcare system transformation, providing Alzheimer’s patients and their families quicker access to life-changing innovations and therapies. Setting Primary care settings in the DAC-SP early detection program.

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I Feel Things.

StorytellERdoc

What started as a small adventure and challenge from my writing group, with my first posting on November 19, 2009, turned into quite an amazing ride throughout the literary and social media world. I think many ER doctors have shut themselves off from the feelings of their patients. The number of friends I met was staggering.

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Kaiser Permanente study shows screening efforts cut colorectal cancer deaths in half

Permanente Medicine

A new Kaiser Permanente study showed how an integrated colorectal cancer screening program cut cancer deaths in half, reduced incidence by nearly a third, and erased racial health disparities in screenings, incidence, and death rates. underscoring the need to raise awareness, screen proactively, and improve treatment.

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Reducing cancer deaths, one test at a time

Permanente Medicine

By building an integrated, patient-centered colorectal cancer screening program, we doubled screening rates, cut deaths by 50%, and made major strides in closing racial disparities in outcomes. The approach was simple: consistently alert patients that it’s time to get screened and make getting screened as easy as possible.

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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

Many years ago for the first study; I believe it was in 2009, 2010; I met with Susan Mitchell at the Institute for Aging Research, and told her that I wanted to study the use of feeding tubes for people with advanced dementia. Nursing homes are subsidized by their Medicare, by their rehab patients. How did this project get launched?