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At the Front Lines of Medicine : How the Health Care System Alienates Doctors and Mistreats Patients...and What We Can Do About It

At the Front Lines of Medicine : How the Health Care System Alienates Doctors and Mistreats Patients...and What We Can Do About It - 01 edition

ISBN13: 978-0742542570

Cover of At the Front Lines of Medicine : How the Health Care System Alienates Doctors and Mistreats Patients...and What We Can Do About It 01 (ISBN 978-0742542570)
ISBN13: 978-0742542570
ISBN10: 0742542572
Cover type:
Edition/Copyright: 01
Publisher: Rowman & Littlefield Publishing Group
Published: 2001
International: No

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At the Front Lines of Medicine : How the Health Care System Alienates Doctors and Mistreats Patients...and What We Can Do About It - 01 edition

ISBN13: 978-0742542570

Howard Waitzkin

ISBN13: 978-0742542570
ISBN10: 0742542572
Cover type:
Edition/Copyright: 01
Publisher: Rowman & Littlefield Publishing Group

Published: 2001
International: No
Summary

For three decades Dr. Howard Waitzkin has worked "at the front line of medicine." As a practitioner of internal medicine and primary care and as a sociologist, he has devoted much of his career to improving health services, especially for poor and underserved patients--migrant workers in California, immigrants living in Southwestern communities, and patients in developing countries of Latin America.

In his latest book Dr. Waitzkin offers a comprehensive analysis of the current problems of costs, coverage, and access to medical care in the United States. He takes the reader into the examination room with vivid patient-doctor encounters that portray dilemmas patients frequently face.

Many stories are too familiar in this era of rising costs and declining health coverage: A 31-year old diabetic man who died when his Medicaid co-payment spiraled out of reach; a 48-year old woman whose breast cancer metastasized as she waited funding for an outpatient biopsy; a 63-year old man struggling to control high blood pressure after a layoff left him without affordable coverage.

The United States today is the only economically developed county in which more than a third of the population is uninsured or under-insured. This new book explains why, just as it offers strategies to improve medical encounters and the health care system as a whole.

Changes in Medical care have affected the decision making of doctors, as well as communication between patients and doctors. Dr. Waitzkin describes these important changes in the medical practice. He offers an analysis of how spiraling costs, managed care organizations, declining coverage, and new technologies have changed the decisions and the course of care chosen. Most strikingly, he explains why a community's social and economic conditions have even more impact on health outcomes than the type or quality of available health services. Dr. Waitzkin describes the bold action needed if the United States is to improve the health prospects of its people.

Table of Contents

Primary Care and Social Policy
Access, Costs, and the Failure of Past Policies
Local Problems and Global Policies
The Social Origins of Illness: Medical Care is not Enough
Clinical Challenges in Primary Care
The Social Context of Patient-Doctor Relationships in the Era of Managed Care
Trauma, Mental Health, and Physical Symptoms
Struggles for Health and Justice
Local Struggles for Access and Control
A National Health Program for the United States
Needed Changes in Society
Needed Changes in the Patient-Doctor Relationship
Appendix
Notes
Index

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