PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 1956542

Our Achilles heel.

S D Bennion
View original source ↗Export metadata ↓

Abstract

In spite of major improvements in the quality of the medical care given by the Military Medical Services, there exists an area which has been neglected. The practice of assigning young unseasoned physicians to small health facilities, which are often isolated, has led to a situation which places the high quality of military medical care in jeopardy. Recognition of the problem is long overdue and threatens to undermine patient care in the military system. Probably the most difficult hurdle will be to developing an awareness of this problem and, once this is overcome, there are several simple steps which could quickly be instituted to correct the situation.

Explore related subjects

Ambulatory Care FacilitiesEuropeMilitary MedicineUnited StatesWorkforceEditorial

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

S D Bennion. 1991. Our Achilles heel.. https://pubmed.ncbi.nlm.nih.gov/1956542/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Strategies to reduce HIV risk behavior in HIV primary care clinics: brief provider messages and specialist intervention.

Reducing HIV transmission is a critical goal worldwide, prompting new strategies to slow the spread of the virus. This paper describes the theoretical underpinnings of the Comprehensive Harm Reduction Protocol (CHRP) and the process of its implementation in one large urban HIV clinic and two smaller rural primary care clinics. Patients enrolled in CHRP complete the Risk Diagnostic Questionnaire (RDQ), self-reporting HIV transmission risk behavior at most clinic visits. Clinicians review RDQs to trigger dialogue using motivational interviewing and the stages of health behavior change to reduce high-risk behaviors (drug use, alcohol use, or high-risk sexual behavior). In the ongoing evaluation study, CHRP patients receive two provider-only visits before being randomized to continue with provider brief prevention messages only or to receive additional intensive counseling with a risk-reduction specialist following the provider visit. If outcome data support one or both interventions, CHRP could be a useful model for widespread adoption. Observations from the implementation of this protocol are presented in order to facilitate the adoption of this protocol in interested clinics. Later, results of the evaluation of the implementation of the protocol may have value in developing prevention policy in HIV treatment clinics.

Ambulatory Care Facilities↗