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Fixing the Primary Care Crisis: Reclaiming the Patient-Doctor Relationship and Returning Healthcare Decisions to You and Your Doctor by [Schimpff MD FACP, Stephen C.]
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Editorial Reviews


"Steve Schimpff has written an outstanding treatise describing how misdirected attempts to save money have underfunded primary care resulting in lower quality healthcare, an increasing shortage of primary care physicians, and an increase in the cost of healthcare. He shows how a change in the healthcare paradigm can lead to better care at lower cost that is more rewarding to patient and physician." —Robert J Alpern, MD Ensign Professor of Medicine and Dean, Yale School of Medicine

“With nearly 3000 employees, the health of our company depends on a healthy workforce. We deliver highly-advanced technical and engineering services, so illnesses, as well as the cost and quality of healthcare available to our employees, directly impact our productivity and customer satisfaction. Fixing the Primary Care Crisis brings attention to an issue that will resonate with businesses of every size, in any market.”—Bahman Atefi, ScD, CEO, Alion Science and Technology

“Dr. Schimpff eloquently illustrates one of the principle lessons we teach our medical students throughout their training: relationship matters. He rightly asks how the doctor-patient relationship has suffered in today’s medical/commerce environment. Dr. Schimpff’s powerful patient vignettes and wide ranging interviews provide thought provoking concerns for physicians, patients and those of us whose mission is to train the next generation of healthcare providers.” —Robert A. Barish, MD MBA, Chancellor, LSU Health Sciences Center, Shreveport

“Fixing the Primary Care Crisis is an outstanding work by an extraordinary writer. As in his previous works, Dr. Schimpff has clearly identified the issue in a manner for all to understand. The crisis is real and imminent and we would all be served in heeding Steve’s advice.” —Stephen Burch, Chairman of the Board, University of Maryland Medical System, former president, Atlantic Division, Comcast Inc. and retired CEO, Virgin Media UK

“As with the other topics in medicine he has so carefully analyzed, Dr. Schimpff presents a thoughtful and insightful discussion of contemporary primary care medicine. Patients and doctors will understand his clear exposition very useful.”—William L. Henrich, MD, MACP, President and Professor of Medicine, The University of Texas Health Science Center at San Antonio, Texas

Stephen Schimpff, MD provides a uniquely qualified view on the future of health care, with a focus on primary care medicine and the physician-patient relationship in the post-reform era. As a highly esteemed physician, academic leader, health system executive, and national thought leader on clinical issues, Dr. Schimpff paints a picture of an industry that is experiencing real change due to an overwhelming convergence of interests, incentives and macro-environmental forces disrupting primary care. At a time when patient-centered care is a growing, talked-about movement, Dr. Schimpff eloquently defines the problem and offers intelligent, actionable solutions to activate primary care innovation.—Don McDaniel, President and CEO, Sage Growth Partners

“A must read for all health professionals and policy makers in addition to patients and doctors. Dr. Schimpff doesn’t just lay out the problems with our health care system. His experience and research cite both provider, payer and consumer steps which must be taken to make the United States healthcare system affordable and of higher quality.”—Michael R. Merson, MBA, retired president of MedStar Health, former CEO, Helix Health System and former board chair, Carefirst BlueCross BlueShield, Inc.

“Dr. Schimpff makes an urgent case for a transformed healthcare system based on proactive primary care, wellness programs, early treatment of chronic conditions, and plenty of time for physician/patient visits. We’ve seen the results with our QuadMed primary care model: a healthier, more productive workforce and greater control over total health care costs. This book offers powerful solutions for every employer.”

—Joel Quadracci, Chairman, President & CEO, Quad/Graphics

About the Author

Stephen C. Schimpff, MD FACP is an internist, researcher, professor of medicine and public policy, former University of Maryland Greenebaum Cancer Center director and former University of Maryland Medical Center chief executive officer. He is a graduate of Rutgers University and Yale School of Medicine. He is board certified in internal medicine, medical oncology and infectious diseases. Most of his career was spent at the National Cancer Institute, the University of Maryland Medical School and the University of Maryland Medical System. Since quasi-retirement he has authored four books for the general public on medical topics. He and Carol, his wife of over 50 years, live in Maryland. Learn more about Dr. Schimpff’s books, articles and blog at:

Product Details

  • File Size: 14318 KB
  • Print Length: 292 pages
  • Simultaneous Device Usage: Unlimited
  • Publication Date: May 7, 2015
  • Sold by: Amazon Digital Services LLC
  • Language: English
  • Text-to-Speech: Enabled
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  • Word Wise: Enabled
  • Lending: Enabled
  • Enhanced Typesetting: Not Enabled
  • Amazon Best Sellers Rank: #487,260 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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Customer Reviews

Top Customer Reviews

Format: Paperback
This is a major contribution which offers a turning point in healthcare discussion. As a clear, authoritative, state-of-the-art orientation text in one of America’s most important current public interest issues, it is a milestone in America's healthcare reform thinking which every US presidential candidate should read.

This statement may sound extravagant, but I offer it with due consideration, for three reasons. The first is Schimpff’s credentials. Unlike many writers on healthcare and other public policy issues, he has no agenda apart from wanting to help improve healthcare. He’s not running for public office or seeking to climb a professional ladder. His long and successful career has spanned medical practice, teaching, research, advising government, and successfully running one of the world’s leading hospitals. Although he retains professor status in medicine and public policy, he’s essentially retired to his study to document and analyze the state of healthcare as he sees it. He has nothing to prove to anyone and no one to cozy up to politically. This is fortunate for the rest of us, because his mind contains a unique encyclopedia about how healthcare works and how it can be changed to serve us all better. Schimpff isn’t just another commentator. He’s a national resource.

The second reason to pay attention to Schimpff is his tone. Despite its context of crisis it is patient and calmly reasoned, marked by a note of urgency derived not from hysteria but from moral earnestness. He is convinced that we must fix the healthcare system not just because doing so will be economically efficient but because it will be ethically right.
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Format: Kindle Edition
There is a growing crisis occurring nationwide among Primary Care physicians. This crisis is one of awareness in this area, and Dr. Schimpff is to be credited for his efforts in making a difference to patients and to their physicians by giving them hope for a healthier and happier tomorrow by how they receive and deliver their healthcare at the primary care level.

Fixing the Primary Care crisis is truly insightful and inspiring; further, it brings back hope to this once sacred profession. Primary Care is of the utmost importance, as it is the foundation of a healthier America. Dr. Schimpff does an exemplary job explaining how Primary Care has been devalued by the middlemen – the health insurance companies, leading to rushed and hurried visits – cattle drive medicine, where time and quality isn’t valued, but rather, overbooking schedules to maximize the number of patients (units) seen per day is where the value lies. This metric is clearly wrong and leads to the negative perception of care which has caused further deterioration of the sacred trust between patients and physicians.

Over the last 30 years, health insurance companies and the government have been adding bureaucracy and red tape to health care at log rhythmic rate which is at the very crux of eroding the patient-physician relationship, leaving the majority not really knowing who is to blame. Often the physicians are placed in the cross hairs due to all the propaganda created by aforementioned entities; and are often silent, as the altruism card is used against them. As a result of the process, many Primary Care physicians have or are dangerously close to becoming indifferent and full of despair as they are burning out from the cattle drive or hamster wheel of medicine.
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Format: Paperback Verified Purchase
Unfortunately, I have had more than my share of medical service and have substantial knowledge about practicing physicians. This book is excellent in describing what is really going on in the medical profession in the 21st Century. It is honest and straightforward in its presentation of how each of us should expect to be treated. For anyone who has a medical condition or conditions, or anyone who may find themselves in need of medical treatment - and that means ALL of us - this book is a must read. The days of just going to the doctor and not trying to understand the system are gone. We owe it to ourselves and our families to read this book and understand what is likely to happen. Dr. Schimpff is obviously well informed and extraordinarily experienced in the practice of medicine at multiple levels, but lays out his information in a way that laymen can understand. Even with my extensive medical history, reading this book was still a great learning experience. I recommend it to EVERYONE!
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Pontification on the inadequacies of the American health care system seems to be a popular pastime for the self-proclaimed experts (on everything) who are so abundant in United States today. There are so many targets for blame: doctors, nurses, hospitals, pharmaceutical companies, insurance companies, fast food chains, advertisers, politicians, the government-anybody and everybody who stands to profit from the unhealthiness of people. And the recipients of the ineffective healthcare are also blamed for the failure to resist the temptations that prevent them from leading a healthy lifestyle. It is easy to blame, and while it is important to acknowledge the existence of problems, just pointing fingers, especially semi-knowledgeable ones, does not fix the problem.

“Fixing the Primary Care Crisis: Reclaiming the Patient-Doctor Relationship and Returning Healthcare Decisions to You and Your Doctor” distinguishes itself from all that noise and bluster. Dr. Schimpff has done extensive, meticulous research and compilation of existing data and information. Applying his extensive breadth and depth of experience in the health care field, he has analyzed these data to identify and validate the root causes for the healthcare system shortcomings. With this comprehensive understanding of the causes, Dr. Schimpff presents innovative and intriguing new approaches for an effective, ethical, and compassionate healthcare delivery system for the U.S. Some of these approaches are already in early pilot stages, and Dr. Schimpff provides a detailed analysis of their effectiveness to date. The content of the book is intelligently communicated in a clear and comprehensive manner that is easy to follow, and that is accompanied by numerous highly relevant examples.

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