Healthy people 2000

Article Abstract:

During the course of a year physicians in private practice, on average, come in contact with 713 patients; during the course of a decade they treat 1,000 different individuals. On an actuarial basis these physicians experience 55 deaths among their patients (25 due to coronary heart disease, 20 due to cancer, 6 to stroke and 4 to injuries). Of these deaths, approximately 29 are premature and, with appropriate preventive care, 10 to 25 can be prevented. Physicians must be concerned with assuring that their patients receive immunizations, screening tests and counseling about life-styles and attending risks. In addition, recommendations must be made to encourage smoking cessation, obtaining mammograms, and using seat belts. Physicians need to be providers of health information, and must help create an attitude of health responsibility in their patients. Recently, the United States developed and promulgated Healthy People 2000: National Health Promotion and Disease Prevention objectives. This document addresses 22 priorities in the nation's health, and establishes reachable goals in each area. Physical activity, nutrition, tobacco use, alcohol, drugs, family planning, mental health, violence, cancer, diabetes, chronic conditions, AIDS, sexually transmitted diseases, and immunizations against infectious diseases are some of the subjects addressed in the report. Modifications of key personal behaviors can lead to a greatly improved health status. The roles of health professionals must include both direct medical care and guidance that enables patients to establish healthy lifestyles aimed at reducing their risks of disease and disability. (Consumer Summary produced by Reliance Medical Information, Inc.)

Health aspects, Laws, regulations and rules, Reports, Telecommunications systems, Physician and patient, Physician-patient relations, Social policy, Life style, Lifestyles, Medical policy, Health education, Public health administration, United States. Department of Health and Human Services

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Linking physicians' pay to the quality of care-a major experiment in the United Kingdom

Article Abstract:

The family practitioners in UK entered into a contract with the government in April 2004 that would provide additional payments for high-quality care in excess of one billion pounds sterling that amounts to more than 20 percent of the previous family practice budget. The development of this scheme for quality improvement is described and an overview of the incentives offered is presented with some of the likely consequences that follow from this radical experiment.

United Kingdom, Government domestic functions, Financial management, Management dynamics, Finance, Physicians (General practice), General practitioners, Company financing

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