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Full-Text Articles in Medicine and Health Sciences
Better Care At Less Cost Without Miracles, Edmund K. Faltermayer
Better Care At Less Cost Without Miracles, Edmund K. Faltermayer
MCV/Q, Medical College of Virginia Quarterly
Our present system of medical care is not a system at all. The majority of physicians, operating alone as private entrepreneurs, constitute an army of pushcart vendors in an age of supermarkets. Most patients pay by the cumbersome "fee-for-service" or piecework method, which involves separate billing for visits to doctors, shots, x-rays, laboratory tests, surgery, anesthesia, hospital room and board, etc., etc. The American hospital system, as Herman M. and Anne R. Somers of Princeton University said in their book, Medicare and the Hospitals, "is largely a figure of speech," the result of a haphazard growth of isolated, uncoordinated institutions.
Whom, Why And How To Refer, Zigmond M. Lebensohn
Whom, Why And How To Refer, Zigmond M. Lebensohn
MCV/Q, Medical College of Virginia Quarterly
When a medical practitioner decides that the time has come to refer his patient to a specialist, certain psychological problems arise which may, at times, interfere with the smooth accomplishment of the referral. These problems can and do occur daily in medical practice, and it often makes little difference whether the specialist is a thoracic surgeon, a neurosurgeon or a psychiatrist. Referrals create certain anxieties and fears in the mind of the patient. Some of these anxieties are common to all referrals. The patient asks himself, "What's going on? What does the doctor think I really have? How serious is …
Community Resources: The Role Of Other Professionals, Luther Christman
Community Resources: The Role Of Other Professionals, Luther Christman
MCV/Q, Medical College of Virginia Quarterly
In this short paper an attempt has been made to sketch briefly some of the social forces affecting collaboration. A model of shared power has been suggested as a means of most effectively mobilizing the professional mental health manpower and of stimulating the growth of expertness. It is only one alternative among many. The behavioral scientists constantly are studying the best ways to harness human effort for the social good. The application of their findings to the problem of interdisciplinary collaboration may be a valuable means of improving patient care.
Recognition And Management Of Psychiatric Emergencies, John A. Ewing
Recognition And Management Of Psychiatric Emergencies, John A. Ewing
MCV/Q, Medical College of Virginia Quarterly
Emergencies are simply unforeseen occurrences which present themselves to physicians in a variety of ways. Indeed, a physician is not the first person on hand for most emergencies but may merely be called upon for appropriate intervention. Any of us can be presented with an emergency, psychiatric or otherwise, at any moment. However, each of us has his own particular probability of sampling psychiatric emergencies, depending upon who he is and what he does. In actual fact, psychiatric emergencies more often confront people other than psychiatrists, for example, the policeman, the social worker, and the general practitioner (Ewing, 1965). As …
The Physician's Role In The Assessment Of Normal Behavior, Melvin Sabshin
The Physician's Role In The Assessment Of Normal Behavior, Melvin Sabshin
MCV/Q, Medical College of Virginia Quarterly
I am pleased to have this opportunity to talk to you about the physician's role in the assessment of normal behavior. One source of my appreciation relates to the fact that this topic is rarely discussed explicitly in symposia organized by psychiatrists for non-psychiatrist physicians. A major reason for underemphasis of this subject is that psychiatrists are quite divided in their perspectives and opinions regarding normal behavior. Not surprisingly, we psychiatrists are much more comfortable when talking to non-psychiatrists about the nuances of maladaptation or of emotional illness.
What Referring Physicians Can Expect From The Psychiatrist, David R. Hawkins
What Referring Physicians Can Expect From The Psychiatrist, David R. Hawkins
MCV/Q, Medical College of Virginia Quarterly
I hope that I have persuaded you that the psychiatrist can be a very useful colleague to non-psychiatric physicians. He can be most useful if the referring physician works at developing a mutual learning relationship with him and keeping all lines of communication open.