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Primary care for all Americans

Common Sense Family Doctor

" The Gilded Age of Medicine is Here ," announced the title of a recent New Yorker article about the tactics of private equity firms that provide infusions of cash to struggling hospitals in order to extract hundreds of millions of dollars in profits by slashing costs to the bone and endangering the health of patients. Nevertheless, the U.S.

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Migraine headaches: diagnostic and treatment tips

Common Sense Family Doctor

A patient with a history of headaches is brought by ambulance to the emergency department for the abrupt onset of weakness and decreased sensation in their left arm and leg. A code stroke is called. Are these symptoms of an acute stroke or a stroke mimic , such as a hemiplegic migraine ?

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Lung cancer screening in primary care: more pragmatic research needed

Common Sense Family Doctor

A 2020 meta-analysis of eight randomized controlled trials (summarized in a POEM in American Family Physician ) concluded that low-dose CT screening prevents one lung cancer death for every 250 people screened. to 3.33, indicating that even the most pragmatic studies fell well short of simulating conditions in community settings.

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Does transitional care management improve outcomes after discharge from the hospital?

Common Sense Family Doctor

Since the turn of the century, the rise of hospitalists and the corresponding decline in the number of office-based family physicians who provide inpatient care for their own patients has magnified the value of optimizing the handoff from hospital-based teams to primary care physicians.

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Direct-to-consumer advertising distorts prescription drugs’ benefits and costs

Common Sense Family Doctor

In 1998, a Letter to the Editor in American Family Physician expressed concerns about the relatively new practice of pharmaceutical advertising directly to patients. The ad states that patients may pay as little as $5 per dose, 4 times per year.… Who could blame a patient for believing the drug doesn’t cost much.

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Pathways to primary care for underserved communities

Common Sense Family Doctor

Most family physicians have at some point heard the old saw "jack of all trades, master of none," which I have come to view as less insulting than is usually intended. in 2023-24. Another Health Affairs study documented that the percentages of residency programs with rural and FQHC training sites rose from 6.2%

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For family medicine workforce, HHS reorganization plan receives a failing grade

Common Sense Family Doctor

While I'm grateful for subspecialists who alleviate pain, rescue patients who are unable to breathe on their own, manage complicated fractures, and replace worn-out hips and knees, the gap between the number of family doctors we need and the number we have keeps getting wider. growth in the U.S.