Posted by alexandra_k on April 12, 2021, at 23:24:03
In reply to Re: Why Did ASTRA ZENECA change name to Vaxzevria?, posted by alexandra_k on April 12, 2021, at 17:43:52
The link was interesting, Phillipa. I am going to try and apply to get back to North Carolina. One of the things that I really like about the state is how well developed public health is, there. That is something that the state really tries to do. Health. For the people. That's why people move to NC. Education... Health... There is a cancer research / treatment centre at Chapel Hill. That's state cancer care (not private). I'm not saying it is massively accessible or whatever -- but it's something. Right? It's something...
There's some kind of Public-Private partnership thing with Duke and UNC Chapel Hill... And it seems to translate into things in the public sector... Sure, it's about access to patient population for clinical trials... But there seems to be a giving back to the community, too, in that cutting edge treatments are available to the people and they wouldn't be otherwise. Couldn't be otherwise.. Yeah.
The US system is different from the UK or Scotland one that NZ and Australia is based on. We have General Practitioners... You guys have 'family care physicians' or 'internal medicine physicians' (where I think family care is a sub-speciality or something of one way people go or one thing people do with internal medicine).
It was interesting that the CE was saying the company was trying to break them up or split them up (the family medicine people). So the idea was to band or bring them together... In clinics... A few of them... But still group clinics...
I think usually doctors want to be close to other doctors for second opinions and the like. So they can ask for help when they need it. And so they can focus more on the job more and delegate things.. IT systems and administration tasks and so on...
I hear sometimes details about how things are funded in the US and my eyes start to glaze over. Which is why they offer continuing education credits to people to follow along...
SOmething about proceduralists getting all the billings therefore glory. About how that has not been good for family care medicine... It has not been good for patient centred management of more chronic conditions where one needs to be mindful of how symptoms and medications interact... And the persons history of response to medications or combinations of medications.
He was saying this new model (getting them out of the hospitals and closer to the communities) was trying to allow them to have more lengthy consulations without pressure for (likely unnecessary) procedures to be billed...
poster:alexandra_k
thread:1114360
URL: http://www.dr-bob.org/babble/20210120/msgs/1114547.html