Need for a patient advocate.

作者: Condict Moore

DOI: 10.1001/JAMA.1989.03430020101038

关键词: GovernmentInsurance industryPrimary physicianMedicineDiseaseAlternative medicineFaithMedical careNursingRoutine care

摘要: GOVERNMENT and the insurance industry have intruded in recent years into delicate, crucial relationship between physicians patients. The primary physician's ability to play an unbiased role decisions about optimum care a patient's faith one capacity manage important health matters are disappearing. 1 Experts foresee no relief from this medical muddle ( New York Times . May 2, 1988:26). 2-4 When major disease strikes today, is revealed be patterned by quasi-medical nonmedical forces. Optimum becomes rationed size wealth of each complex. 5 Routine often follows dictum: treat at local facilities until things go badly, then refer (this can waste money harms patients). patient caught middle. Primary working new milieu struggle sustain complete commitment welfare. 6 To survive, many today

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