The underpinning of medical practice has always been patient care and patient safety. The past several decades, however, have seen an erosion of the patient-doctor relationship. A number of factors…
The evolution of health care in America had its beginnings even before the founding of the nation. This article divides the evolution of American health care into six historical periods:…
The bulk of federal funding for medical research is delivered through the National Institutes of Health (NIH). Because federal funding is coordinated through the annual discretionary budget review process, the…
With the changing environment for medical practice, physician practice models will continue to evolve. These “supergoups” create economies of scale, but their advantage is not only in the traditional economic…
The process of certification, recertification, and maintenance of certification is mandated by the American Board of Urology as a member Board of the American Board of Medical Specialties. The history…
This article discusses the need for health care reform. The American Medical Association has devised a plan that would allow all Americans to obtain health care coverage. This article discusses…
Residency training in urologic surgery should change to an educational experience driven by outcomes instead of process. The needs analysis for curriculum modification has been completed and defines the competencies…
The authors advocate a fundamental change in health care financing—national health insurance (NHI). NHI would reorient the way we pay for care, bringing the hundreds of billions now squandered on…
The use of incentives to improve quality of care is spreading rapidly across the health care system. Public reporting (PR) and pay-for-performance (PFP) are two examples of incentive-based programs. Although…
The United States is in desperate need of health care reform. What has been brought to the table so far, however, has been insufficient. This article outlines a comprehensive change…
