segunda-feira, 4 de abril de 2011

Opções à Medicina Interna tradicional

Para muitos a Medicina Interna tradicional está, no mínimo, em processo de morte. A Medicina Hospitalar surgiu como possibilidade para o médico generalista. Encontro agora outra alternativa, mas seria mercado para poucos privilegiados: concierge physicians.

What is Concierge Medicine?

Internal medicine is dead, will concierge physicians thrive?
So is this all just whining and political hyperbole or is internal medicine really dying? The answer to this question was revealed to me by a colleague last weekend while I was at the hospital. I had been called to the ER for one of my patients who was hemorrhaging on the blood thinner, Coumadin. The ER doctor looked at me and said, “You are a dying breed.” I laughed and said, “Yes, I know…but why do you say this?” He responded, “See that list of 9 doctors’ names and phone numbers up there on the wall? You are one of the last of 9 doctors who still admits his own patients to this hospital when they get sick. All of the other internists and family practitioners have abandoned hospital medicine and limit their practice to the office.” I knew that this was a profound statement and it shocked me; but I did not fully digest its implications until I had stabilized my patient and started my drive home. [READ FULL ARTICLE]
O autor faz forte crítica ao modelo com hospitalistas, e é preciso buscar compreendê-la para tornar ainda melhor o nosso modelo. Não me parecem justas, se eu pegar como exemplo os serviços que conheci nos EUA, mas entendo perfeitamente o que ele está tentando passar de mensagem.

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