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Biomedical subjects

L BeSaw

Publications and source records attributed to L BeSaw.

17 recordsLinked to original sources
PubMed1996

A matter of concern.

As managed care continues its explosive expansion across Texas, physicians are becoming more and more concerned about the impact it is having on their practices and on their ability to deliver quality care to their patients. The Texas Medical Association's fourth survey of physicians shows a third of them view managed care as their primary concern and half of them say it has had an adverse impact on patient care.

Attitude of Health Personnel↗
PubMed1995

Managing Medicaid. Impending change produces many questions, few answers.

There is a widely held belief that big trouble often starts with a simple declaration: "Now here's what we'll do." It's a variation of the one about hell and good intentions. During the most recent session of the Texas Legislature, lawmakers decided that what they would do is authorize the conversion of the state's Medicaid program to managed care. Otherwise, Texas faced a projected shortfall of up to $2 billion in state funds over the next biennium for the program that provides health care for about 2 million low-income Texans a month.

Humans↗
PubMed1995

Have we got a deal for you, doc. Small towns recruiting big time to lure physicians to rural Texas.

Ask most folks if they would trade the crime, high taxes, traffic nightmares, and general hassle of big cities for the pastoral setting of small-town life, and their first question may be what time the moving van arrives. Life in a small town can be peaceful, quiet, and relaxing: just the tonic for the headaches of modern urban life. Then reality in the form of illness intrudes, and the services of a doctor are needed. Unfortunately, in many rural areas of Texas, one may not be available.

Medically Underserved Area↗
PubMed1995

Medical savings accounts.

Let's take a walk down memory lane. Think real hard. Remember the good old days when patients came to your office, you diagnosed their illnesses, and you prescribed courses of treatment that your training and experience told you were necessary? Either patients paid you directly or you billed their insurance companies. And, if you decided hospitalization was needed, your patients stayed there until you decided they were well enough to go home. You and your patients made the necessary decisions.

Financing, Personal↗
PubMed1995

Why Johnny hates science. Poor student performance worries physicians, educators.

Imagine medical schools faced with applicants who know or care little about science because they are the products of an educational system that did not motivate them to take an interest in the subject. Now imagine what kind of physicians they would be if they managed to get into medical school and graduate. John Burnside, MD, has imagined it, and it scares him.

Attitude↗
PubMed1995

The workers' comp monolith. Despite improvements, problems still remain.

For many Texas physicians, the workers' compensation system represents a bureaucratic tangle of regulations, guidelines, and forms; frequent payment hassles; and a cumbersome dispute-resolution process. If it were not for their concern for their patients' welfare, many of them would choose not to participate.

Physicians↗
PubMed1995

Gene therapy uproar. Texas researchers say pessimism is unfounded.

When the New England Journal of Medicine published articles in late September showing that two gene therapy studies involving muscular dystrophy and cystic fibrosis patients had not produced positive results, the so-called "failure" was widely reported in the news media, sometimes in funeral tones. The reports created a distinct impression that researchers trying to find ways to use gene therapy techniques to treat a wide variety of diseases had made promises they could not keep.

Cystic Fibrosis↗
PubMed1995

The price of regulation. TMA study identifies costs of doing business.

Things used to be a lot simpler for Larry James, MD. An Austin allergist for almost 20 years, Dr. James used to be able to conduct lab tests on his patients in his office and have the results in as little as 20 minutes. Then along came the federal Clinical Laboratory Improvement Amendments (CLIA), passed by Congress in reaction to negative publicity (some critics called it media hysteria) over improperly read Pap smears, and Dr James' lab was out of business. Not because he did anything wrong, but because he was unwilling to put up with the bureaucratic hassle and expense of complying with CLIA.

Health Care Costs↗
PubMed1995

Medical history. TMA 50-year club members helped make it.

They survived the Great Depression, won a world war, and touched millions of lives--from the downtrodden to heads of state--while helping to bring about the greatest advances in medicine the world has ever known. Now in retirement, the members of the Texas Medical Association's 50-Year Club look back and marvel at what they have witnessed.

History, 20th Century↗