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Out of PracticeFighting for Primary Care Medicine in America$
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Frederick M. MD Barken

Print publication date: 2011

Print ISBN-13: 9780801449765

Published to Cornell Scholarship Online: August 2016

DOI: 10.7591/cornell/9780801449765.001.0001

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(p.213) Epilogue
Out of Practice

Frederick M. Barken

Cornell University Press

This book concludes with an epilogue, which looks back and reflects on the evolution of the practice of medicine. It acknowledges the technical improvements in the delivery of health care that were achieved in the first few years of the twenty-first century, especially the computer, but argues that there were problems fiscally. In particular, it cites the steadily rising health care costs. It also considers the deprofessionalization of primary care physicians and its implications for physician-patient relationships. Finally, it offers some suggestions aimed at fixing primary care, such as addressing the matter of medical malpractice liability and recognizing the fact that patients long for a close relational quality of primary care and at the same time demand speed, precision, and error-free efficiency from their doctors.

Keywords:   health care, health care costs, deprofessionalization, primary care, physicians, physician-patient relationship, malpractice, patients

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