Letters

The future of family medicine

 

Fam Pract Manag. 2000 May;7(5):14.

To the Editor:

As a family physician educator of more than 22 years, I was curious to hear what prominent physicians and health care leaders had to say in the article, “What Lies Ahead for Family Physicians?” [January 2000 special section: “Family Practice in 2000: The State of the Art”].

My compliments on the diverse group of professionals interviewed. Their diverging views on the future for family physicians were very interesting, but it was disturbing that the elderly were not mentioned once in any of the interviews, considering that older Americans will play an enormous role in health care in the next 25 to 30 years.

Geriatrics may not be glamorous and may be a time-consuming and ego-deflating area of medicine, but it is where the future of family medicine lies. In fact, there is light at the end of the tunnel for those of us who work in geriatrics. It works this way: There are two classes of elderly. The minority are well elderly who are good HMO risks; the majority are plagued with chronic illnesses and multiple problems and are not good HMO risks. It is this high-risk Medicare population that appears to be the last bastion of fee-for-service medicine! Taking on these patients may be good medicine for what ails family physicians.

 
 

Copyright © 2000 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact fpmserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions


MOST RECENT ISSUE


Nov-Dec 2020

Access the latest issue
of FPM journal

Read the Issue


FPM E-Newsletter

Sign up to receive FPM's free, weekly e-newsletter, "Quick Tips & Insights."

Sign Up Now


AAFP SUPPLEMENTS

Tobacco Cessation Telehealth Guide

Smoking cessation counseling and pharmacotherapy options are cost-effective ways to help patients quit smoking. Learn the role telehealth can play in your practice’s efforts, along with billing, coding, and documentation tips.

Understanding and Improving Risk Adjustment in Team-Based Care

Understand the basics of risk adjustment and how it is used in value-based payment (VBP) arrangements. Learn strategies to thrive in VBP and risk-adjustment models to optimize payment while providing high-quality patient care.

Incorporating Alcohol Screening and Brief Intervention Into Practice

Incorporating alcohol screening and brief intervention benefits your patients and family medicine practice. Follow these steps to reduce risky alcohol use by choosing a screening test, establishing a practice workflow, and appropriately coding and billing.