The Demise of the 'Evil Specialists': Class Warfare of Specialists vs Primary Care Physicians Fostered by Elimination of the Consultation Code

John A. Goldman

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The Demise of the 'Evil Specialists': Class Warfare of Specialists vs Primary Care Physicians Fostered by Elimination of the Consultation Code

机译：“邪恶专家”的消亡：消除咨询法规对专家与基层医疗医生的阶级斗争

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The article "Unintended Consequences of Eliminating Medicare Payments for Consultations" provides interesting insight into the planning of those who designed this insulting plan. The most cost-effective diagnosis is the correct diagnosis.I am a solo rheumatologist and find this entire concoction an insult to those of us who provide in-depth care to people with complex musculoskeletal problems. It is a program to encourage class warfare between the "evil specialists" and the downtrodden primary care physicians. This program was ill defined for those who are caring specialist physicians. Though none of the authors are practicing physicians, they should have also looked at this program through the eyes of the patients and those of us who care for them. Nothing has been calculated to measure the quality of care as a result of this coding change.

机译：文章“消除咨询医疗费用的意外后果”提供了对设计此侮辱性计划的人进行计划的有趣见解。最划算的诊断是正确的诊断。我是一名风湿病专科医生，发现这整个混合物对我们这些为复杂骨骼肌疾病患者提供深入治疗的人是一种侮辱。这是一个鼓励“邪恶专家”和被压倒的初级保健医生之间的阶级斗争的计划。该计划对于照顾专业医生的人定义不正确。尽管没有一个作者是执业医师，但他们也应该从患者以及我们照顾他们的人的眼中看这个程序。由于此编码更改，因此没有任何方法可以衡量护理质量。

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《JAMA internal medicine》 |2013年第12期|共1页
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John A. Goldman;
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中图分类预防医学、卫生学;
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1. The Demise of the "Evil Specialists": Class Warfare of Specialists vs Primary Care Physicians Fostered by Elimination of the Consultation Code [J] . John A. Goldman JAMA internal medicine . 2013,第12期

机译：“邪恶专家”的消亡：消除咨询法规对专家与基层医疗医生的阶级斗争
2. Rethinking the consultation process: Optimizing collaboration between primary care physicians and specialists [Repenser les demandes de consultation: Optimiser la collaboration entre les médecins de soins primaires et les autres spécialistes] [J] . FrostD.W., ToubassiD., DetskyA.S. Canadian family physician: Medecin de famille canadien . 2012,第8期

机译：重新思考咨询过程：优化初级保健医师与专家之间的合作[重新思考咨询请求：优化初级保健医师与其他专家之间的合作]
3. Improved availability of specialist consultations in primary health care: impact on physician visits [J] . Scandinavian journal of primary health care. . 2003,第2期

机译：改善初级卫生保健专家咨询的可用性：对医生就诊的影响
4. Perspectives of Champlain BASE Specialist Physicians: Their Motivation, Experiences and Recommendations for Providing eConsultations to Primary Care Providers [C] . Erin KEELY, Paul DROSINIS, Amir AFKHAM, Global Telehealth (Conference) . 2015

机译：尚普兰基地专家医师的观点：他们为初级护理提供者提供宏观的动机，经验和建议
5. Coordination of primary care referrals and the development of ongoing interactions between primary care physicians and specialists. [D] . Shadmi, Efrat. 2006

机译：初级保健转诊的协调以及初级保健医师和专家之间持续互动的发展。
6. Patient Primary Care Physician and Specialist Expectations of Primary Care Physician Involvement in Cancer Care [O] . Michèle Aubin, Lucie Vézina, René Verreault, 2012

机译：患者初级保健医师和初级保健医师参与癌症护理的专业期望
7. Providing Specialist Psychological Support to Foster Carers: A Consultation Model [O] . Kim Golding 2004

机译：为福斯特照顾者提供专家的心理支持：咨询模型

The Demise of the 'Evil Specialists': Class Warfare of Specialists vs Primary Care Physicians Fostered by Elimination of the Consultation Code

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