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Fixing the Primary Care Crisis: Reclaiming the Patient-Doctor Relationship and Returning Healthcare Decisions to You and Your Doctor Paperback – May 20, 2015
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"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
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Top Customer Reviews
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.Read more ›
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.Read more ›
“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.
Dr.Read more ›
Most Recent Customer Reviews
For many people, grasping the problems of our healthcare delivery system may seem to be a herculean task.
What Dr. Read more
I have been a leader in senior housing and health care for 35 years. Dr. Schimpff brilliantly describes the biggest failure of Medicare and one that is killing older Americans... Read morePublished 6 months ago by Nancy Erickson
Only reason I read the book was due to our company being referenced. Once I read it I was pleasantly surprised how informative the book was especially for someone that does not... Read morePublished 6 months ago by Kindle Customer
The proposed model has been shown to 'work' to provide a better experience for both the patient and the PCP.
Global application is discussed and advocated. Read more
Dr Schimpf hits the nail on the head with his analysis of the healthcare dilemma and his solutions to stemming the problem. Read morePublished 7 months ago by Tom jackson
Dr. Steven Schimpff has made a major contribution to the growing mountain of critical analysis of our broken healthcare system. Read morePublished 10 months ago by Philip H. Grantham
Working in the healthcare industry and understanding the amount of work PCPs have on a day to day basis, Dr. Read morePublished 11 months ago by Roy Steiner