Physician-nurse relationships.
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Biomedical subjects
Publications and source records attributed to S W Reifsteck.
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Tapping into the aging network in any community can be quite challenging. Now is the time for medical groups and staff to build new types of relationships--to be the innovator, collaborator and facilitator between your group and community agencies who serve the elderly. Health professionals have the ability to bridge these partnerships and practice arrangements. These systems can guarantee high quality community service care for this growing and thriving elderly population.
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Changes in the delivery of health care services in the United States are proceeding so rapidly that many providers are asking how the working relationships between doctors and patients will be effected. Accelerated by cost containment, quality improvement and the growth of managed care, these changes have caused some critics to feel that shorter visits and gatekeeper systems will promote an adversarial relationship between physicians and patients. However, proponents of the changing system feel that better prevention, follow-up care and the attention to customer service these plans can offer will lead to increased patient satisfaction and improved doctor-patient communication. Dedicated to addressing these concerns, the Bayer Institute for Health Care Communication was established in 1987 as a continuing medical education program (CME) focusing on this topic. A half-day workshop on clinician-patient communication to enhance health outcomes was introduced in 1992 and a second workshop, "Difficult' Clinician-Patient Relationships," was developed two years later. The two courses discussed in this article are offered to all physicians, residents, medical students, mid-level providers and other interested staff within the Carle system.
What single program can a group practice institute to increase patient satisfaction, contain costs, improve provider accessibility, expand patient education and other services, increase market share, and most importantly, improve the overall quality of patient care? Expanding the role of nurses as co-providers of care can do all this and more for your group. The experience over the past eight years of a large multispecialty group in central Illinois offers many lessons in the successful integration of a nurse practitioner/clinician program into a group practice. Discussed in this thorough report are the scope of practice, benefits to patients and the organization, and identification of issues needing further resolution: legality, third-party reimbursement, income, distribution, and control of practice.
We urgently need to take steps to provide quality health care to our country's elderly, at a reasonable cost and in a coordinated manner. From the medical group perspective, the author details the benefits, needs, objectives, funding, and staffing of a geriatric program.