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Issues Facing Medical Practices



What Does a Change Agent Look Like?
Written by Ardena L. Flippin, MD, MBA   

Does it look like Dr. Sanjay Gupta?

Dr. Sanjay Gupta - Surgeon General?
President Barak Obama has appointed a number of new members to his cabinet, and Dr. Sanjay Gupta has been approached to fill the position of Surgeon General. Dr. Gupta has yet to accept the position, and there are those that say that he lacks the administrative public health experience that would be desirable in order to lead the 6,000-member Commissioned Corps of the U.S. Public Health Service. That lack of administrative state and national experience didn’t seem to stop Arnold Schwarzenegger, Jesse Ventura or Ronald Regan from carrying out the imperatives of their respective positions.

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Does More Money Really Mean Better Health Outcomes?
Written by Ardena L. Flippin, MD, MBA   
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A few days ago a friend asked me if I knew why, despite the U. S. spending more on healthcare, our outcomes were not as good as those of other countries that spend less than we do.  I volunteered that even though quality guidelines exist, they often are not followed, or that another answer might be the evidence of measurable health disparities.  In fact, when I researched this question I found a lot of data, no agreement on what constitutes a relevant outcome measure and no convincing answers.  Does anyone out there have a good explanation of why our outcomes fall short of those demonstrated by those of other developed countries?

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