Where have all the primary care physicians gone? A Socratic discourse.
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Biomedical subjects
Publications and source records attributed to S S Meighan.
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The current turmoil and uncertainty in the health care industry are causing increasing tension and conflict among the groups responsible for rendering and managing care (physicians, nurses, hospital executives, and board members), groups already having adversarial histories. This chapter examines ways to recognize and manage conflict, or situations of potential conflict.
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Five major roadblocks stand between medical staffs and their partners in a competitive health care environment. Reports from more than 300 physician leaders, board members, and hospital executives show that these barriers are significant in both strategic and perceptual ways. Success in an ambiguous, competitive, and most often unforgiving economic environment means that the health care delivery team of the future will have to find its way around or through each of these barriers. Recommendations for developing successful partnership relations are made herein for each of the five roadblocks described.
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The prevalence of epilepsy among children in the third grade in Multnomah County, Oregon, was investigated by use of a questionnaire similar to that used by Rose et al. (1973). Of the 7,039 potential respondents, 5,317 (75.5%) responded to the questionnaire. A stratified random sample of 161 children was drawn from the respondents, and of these 129 (80%) underwent physical and EEG examinations. This replication of the study by Rose et al. (1973) yielded prevalence estimates which were somewhat lower than those reported by Rose et al. for Washington County, Maryland. Our findings suggest that the questionnaire method of estimating the prevalence of epilepsy has promise; further investigation of the method is in progress.
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