Struggles of inner-city medicine: doctors in the trenches describe its challenges and pitfalls

Article Abstract:

Physicians serving patients in inner cities face difficult personal and financial challenges. Dr Lofton Kennedy, for example, works in Chicago's Southeast Side and must deal not only with medical problems, but also personal problems such as marital disputes. Inner-city physicians must also deal with patients who are unable to pay for treatment because they lack health insurance. Even if patients are covered by Medicaid, physicians only receive $40 for an initial visit. A further account of the experience of the inner-city physician is given.

Offices of health practitioners, not elsewhere classified, Health aspects, Finance, Medical care, Inner cities, Kennedy, Lofton

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Home care revival

Article Abstract:

Physicians are returning to home-based care in increasing numbers, in an effort to reduce patient care costs by keeping their patients out of hospitals and nursing homes. Physicians report a higher degree of satisfaction with their in-home work, but are concerned about the way insurance carriers and patient assistance programs approach fee reimbursement and cost analysis. Experts predict further growth in home-based care in the future.

Home health care services, Social aspects, Medical care utilization, Home care services, Home care

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For practice tips, solicit an informal network of advisers

Article Abstract:

Physician may profit from advice from persons outside the practice of medicine. For instance, a doctor was advised to save time by making hospital rounds in the middle of the day, instead of both morning and evening. A collection of index cards may be used to store the names of acquaintances whose expertise may benefit the physician when questions arise. In addition, these people may bring new patients to the doctor's practice.

Offices & clinics of medical doctors, Column

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