This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (2)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

FREDERIC W. PLATT, MD

Arch Intern Med. 1989;149(8):1723-1724.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In this issue of the ARCHIVES, Hershey et al¹ report a "pervasive feeling of frustration and demoralization among practicing internists" in New York. They queried academics, general internists, and subspecialists. Accurate as Hershey et al may be in general, there are dramatic differences of concern between these groups of physicians; I believe that Hershey et al may be homogenizing marked variations of opinion. This is what I found when sampling opinions about the future of medicine shared by some general internists practicing in Denver, Colo.

Denver differs significantly from New York State. We are suffering from a prolonged economic recession, have a very low Medicare payment rate, and have a higher penetration of health maintenance organizations in our medical market. Perhaps because of these factors, I find Denver internists even more pessimistic than those studied by Hershey et al. My colleagues are depressed about loss of income, prestige, autonomy, . . . [Full Text PDF of this Article]

Author Affiliations
1901 E 20th Ave Denver, CO 80205

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?