Foreign Medical Graduates and Their Impact on the Quality of Medical Care in the United States

1975 ◽  
Vol 53 (4) ◽  
pp. 549 ◽  
Author(s):  
Kathleen N. Williams ◽  
Robert H. Brook
Keyword(s):  
United States ◽  
Medical Care ◽  
The United States ◽  
Medical Graduates ◽  
Foreign Medical Graduates ◽  
Quality Of Medical Care

Assessment of the Quality of Medical Care Among Patients with Early Stage Prostate Cancer Undergoing Expectant Management in the United States

2012 ◽  
Vol 188 (3) ◽  
pp. 769-774 ◽  
Author(s):  
Jamie Ritchey ◽  
E. Greer Gay ◽  
Benjamin A. Spencer ◽  
David C. Miller ◽  
Lauren P. Wallner ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
United States ◽  
Medical Care ◽  
Early Stage ◽  
Expectant Management ◽  
The United States ◽  
Quality Of Medical Care

The Foreign Medical Graduate and Public Policy: A Discussion of the Issues and Options

1978 ◽  
Vol 8 (3) ◽  
pp. 541-558 ◽  
Author(s):  
Paul J. Feldstein ◽  
Irene Butter
Keyword(s):  
Developed Countries ◽  
The United States ◽  
Medical Graduate ◽  
Primary Concern ◽  
Medical Graduates ◽  
Foreign Medical Graduates ◽  
Quality Of Medical Care ◽  
To Receive ◽  
Do So

This paper analyzes four basic reasons for curtailing the number of foreign medical graduates (FMGs) entering the United States: the loss to less-developed countries, the possible lower quality of medical care delivered by FMGs, the inability of all U.S. citizens who desire to receive a medical education to do so, and the fear of a possible surplus of physicians in the U.S. For each of these concerns, alternatives are presented and analyzed according to how well they would achieve their objectives. Based on the options proposed for reducing the number of FMGs, the conclusion is reached that the primary concern at present is an oversupply of U.S. physicians.

Medical Education and Instructional Design

1978 ◽  
Vol 6 (4) ◽  
pp. 317-339
Author(s):  
Richard C. Boutwell
Keyword(s):  
United States ◽  
Medical Education ◽  
Instructional Design ◽  
Medical Care ◽  
Medical Training ◽  
The United States ◽  
Medical Professionals ◽  
Acceptable Quality ◽  
Quality Of Medical Care

The rising costs of medical care and the training of medical professionals has brought about circumstances which threatens the acceptable quality of medical care in the United States. Fewer medical schools and a drop in the rate of enrolled medical students are but two indicators reflecting the issue between cost versus quality of medical training. One of the medical communities responses to this crisis has been the introduction of educational technology and instructional design processes in the training of medical professionals. This paper discusses the background of the problem and offers an instructional design model which has applied success.

How Much is Enough? The Payment of Doctors-Implications for Health Policy in Canada

1974 ◽  
Vol 4 (2) ◽  
pp. 245-264 ◽  
Author(s):  
Samuel Wolfe ◽  
Robin F. Badgley
Keyword(s):  
Medical Care ◽  
Community Health Centers ◽  
Manpower Planning ◽  
The United States ◽  
Health Centers ◽  
Fee For Service ◽  
Insurance Plan ◽  
Medical Graduates ◽  
Supply And Distribution ◽  
Foreign Medical Graduates

Incomes of physicians, and differentials in incomes of different kinds of physicians, are reviewed in Canada, where the federal-provincial medical care and hospital insurance plans have been grafted onto an essentially fee-for-service private enterprise system of medical practice. In a detailed discussion on the supply and distribution of Canadian doctors, concern is expressed about the continued simplistic use of doctor-population ratios for health manpower planning. The authors advocate a restriction on immigration of foreign medical graduates to Canada, and a closing of the present open-ended fee system, as well as the creation of a “medical establishment” or quota of doctors in each province who would derive their incomes from the publicly financed medical care insurance plan. They also strongly urge the support of community health centers as part of a restructuring of the health services under a national health insurance scheme. The implications are great for the experience about to unfold in the United States.

scholarly journals �A Phenomenal Person and Doctor�: Thank You Letters to Medical Care Providers (Preprint)

2016 ◽  
Author(s):  
Talya Miron-Shatz ◽  
Stefan Becker ◽  
Franklin Zaromb ◽  
Alexander Mertens ◽  
Avi Tsafrir
Keyword(s):  
Medical Care ◽  
The United States ◽  
Care Providers ◽  
Good Care ◽  
Patient Centered ◽  
Medical Facilities ◽  
Centered Care ◽  
Quality Of Medical Care ◽  
The Web

BACKGROUND Thank you letters to physicians and medical facilities are an untapped resource, providing an invaluable glimpse into what patients notice and appreciate in their care. OBJECTIVE The aim of this study was to analyze such thank you letters as posted on the Web by medical institutions to find what patients and families consider to be good care. In an age of patient-centered care, it is pivotal to see what metrics patients and families apply when assessing their care and whether they grasp specific versus general qualities in their care. METHODS Our exploratory inquiry covered 100 thank you letters posted on the Web by 26 medical facilities in the United States and the United Kingdom. We systematically coded and descriptively presented the aspects of care that patients and their families thanked doctors and medical facilities for. We relied on previous work outlining patient priorities and satisfaction (Anderson et al, 2007), to which we added a distinction between global and specific evaluations for each of the already existing categories with two additional categories: general praise and other, and several subcategories, such as treatment outcome, to the category of medical care. RESULTS In 73% of the letters (73/100), physicians were primarily thanked for their medical treatment. In 71% (71/100) of the letters, they were thanked for their personality and demeanor. In 52% cases (52/100), these two aspects were mentioned together, suggesting that from the perspective of patient as well as the family member, both are deemed necessary in positive evaluation of medical care. Only 8% (8/100) of the letters lacked reference to medical care, personality or demeanor, or communication. No statistically significant differences were observed in the number of letters that expressed gratitude for the personality or demeanor of medical care providers versus the quality of medical care (χ21, N=200=0.1, not statistically significant). Letters tended to express more specific praise for personality or demeanor, such as being supportive, understanding, humane and caring (48/71, 68%) but more general praise for medical care (χ21, N=424=63.9, P<.01). The most often mentioned specific quality of medical care were treatment outcomes (30/73, 41%), followed by technical competence (15/73, 21%) and treatment approach (14/73, 19%). A limitation of this inquiry is that we analyzed the letters that medical centers chose to post on the Web. These are not necessarily a representative sample of all thank you letters as are sent to health care institutions but are still indicative of what centers choose to showcase on the Web. CONCLUSIONS Physician demeanor and quality of interaction with patients are pivotal in how laymen perceive good care, no less so than medical care per se. This inquiry can inform care providers and medical curricula, leading to an improvement in the perceived quality of care.

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