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The Cost-Effectiveness of Family Physicians — Work Up New Symptoms in Stages

September 29, 2013

I took the longest time off from posting on this blog site that I ever have since I launched it in 2010. I had a good reason. I spent a week in England learning more about their National Health Service. I’ll share some of those experiences later. Plus, I’m working on...
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Signs of Progress

September 6, 2013

I have to share something with my readers. One of my think tank partners, Chris Gregory, recently posted a nice summary of some of the work being done in DFW to share ideas on how to lower healthcare costs for everyone. Chris’ blog is at www.doconomics.com/blog/. I was fortunate to be...
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The Cost-Effectiveness of Family Physicians – Using Time to Diagnose

August 25, 2013

I hope y’all aren’t too tired of my continuing posts explaining how family physicians deliver better care at a lower cost than any other model. As I continue to talk about the findings in our recently published study I am now shifting away from describing how family physicians are different people...
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The Cost-Effectiveness of Family Physicians –Long-Term Continuous Relationships

August 18, 2013

Continuing my discussion of the findings in our recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model, today I will talk about how family physicians believe in the power of their long-term continuous relationships with their patients. The following story is...
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The Cost-Effectiveness of Family Physicians –Death is Natural

August 4, 2013

Continuing my discussion of the findings in our recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model, today I will talk about how family physicians believe death is natural, and not a defeat on the part of the patient or physician....
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The Cost-Effectiveness of Family Physicians –Aggressive Treatment Plans Aren’t Always the Best Care

July 29, 2013

Continuing my discussion of the findings in a recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model, today I will talk about how family physicians often believe aggressive treatment plans aren’t always the best care. This statement should be less of...
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The Cost-Effectiveness of Family Physicians – The Limits of Early Detection

July 21, 2013

Continuing my discussion of the findings in a recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model, today I will talk about how family physicians often believe early detection of a disease does not improve the ultimate outcome. This statement will...
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The Cost-Effectiveness of Family Physicians – The Harms of Aggressiveness

July 7, 2013

Continuing my series discussing our findings in a recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model. John was a 53-year-old man who went to an ER for several weeks of abdominal pain. It was never severe. He was never doubled...
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The Cost-Effectiveness of Family Physicians — Ambiguity

June 30, 2013

First, a word of thanks to KevinMD.com for picking up my post on family physicians and uncertainty. I’ll make this post short and sweet. What do physicians do when a patient lists a series of symptoms that make no sense; have never appeared in any medical text book? “Doctor, what does...
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The Cost-Effectiveness of Family Physicians – Applying Probabilities

June 23, 2013

How can a family physician send home from clinic an 18-year-old woman who reports she’s been having chest pain? Couldn’t she be having a heart attack? Absolutely. How can a family physician reassure a person with hand tingling and numbness without ordering any tests? Couldn’t this be a stroke? Of course....
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