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Searching for the Family Doctor: Primary Care on the Brink
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About Searching For The Family Doctor: Primary Care On
Review In 'Searching for the Family Doctor: Primary Care on the Brink,' management Professor Timothy J. Hoff depicts a field in crisis amid a system trending toward 'transactional,' volume-driven, ever more 'balkanized' care. The practitioner perspective illuminates a system antithetical to the preventive care that is family medicine's stock-in-trade, and Hoff's observations about the missteps behind the field's malaise are incisive. This emphasis will also serve to impart a sense of agency to the book's professional readers ― that redemption lies in setting their house in order. ―San Francisco Chronicle Provocative and timely. Exposing the current identity crisis that family medicine finds itself in, this book explores the foundational and internal causes of that crisis rather than blaming it on external forces in the larger health care system. ―Mark E. Deutchman, MD, University of Colorado School of Medicine Succinct, compelling, and well-crafted, Searching for the Family Doctor weaves together dozens of interviews with family physicians at different career stages. Hoff has a healthy and well-informed perspective on how family medicine represents a counterculture to American health care; he is also earnestly serious about the bleak prospects for success without major changes. An essential read for academic family physicians, health policy scholars, and anyone who thinks that the US health care system is broken beyond repair. ―Frederick Chen, MD, University of Washington School of Medicine A masterpiece! Dr. Hoff's meticulous analysis on the essential role of the family doctor, past, present, and future, is must-read for every member of Congress and policy maker. More power to the family doc! ―Robert W. Derlet, MD, author of Corporatizing American Health Care: How We Lost Our Health Care System With health crises becoming an increasing part of the everyday, Hoff's Searching for the Family Doctor could not be timelier. It considers what we all know to be true: relationships with primary care doctors are central to health and well-being. Hoff's excellent book reveals practical actions that may prevent primary care, as we know it, from vanishing. ―Kathleen M. Sutcliffe, PhD, Johns Hopkins University, coauthor of Still Not Safe: Patient Safety and the Middle Managing of American Medicine Hoff, professor of management, health care systems, and health policy at Northeastern University, investigates the specialty of family medicine through archival research and interviews conducted with practicing family physicians....An excellent book. ―Choice (American Library Association) [Hoff] piec[es] out the cognitive dissonance of practicing family medicine in a broken health care system. ―Lalita Abhyankar, Health Affairs Product Description With family doctors increasingly overburdened, bureaucratized, and burned out, how can the field change before it's too late? Over the past few decades, as American medical practice has become increasingly specialized, the number of generalists―doctors who care for the whole person―has plummeted. On paper, family medicine sounds noble; in practice, though, the field is so demanding in scope and substance, and the health system so favorable to specialists, that it cannot be fulfilled by most doctors. In Searching for the Family Doctor, Timothy J. Hoff weaves together the early history of the family practice specialty in the United States with the personal narratives of modern-day family doctors. By formalizing this area of practice and instituting specialist-level training requirements, the originators of family practice hoped to increase respect for generalists, improve the pipeline of young medical graduates choosing primary care, and, in so doing, have a major positive impact on the way patients receive care. Drawing on in-depth interviews with fifty-five family doctors, Hoff shows us how these medical professionals have had their calling transformed not only by the indifferent acts of an unsu
