No mission without the marginalised

Loxterkamp, David
March 2014
BMJ: British Medical Journal;3/1/2014, Vol. 348 Issue 7947, p25
Academic Journal
The author discusses the challenges facing family medicine. Topics discussed include the author's 30-year practice in a community that remained unchanged for two centuries and caring for patients and families whose lives were damaged by opioid addiction, the treatment given to 80 addicts under a programme facilitated by a doctor ad therapist and doctors' need for indigent patients to hone their skills during training.


Related Articles

  • Does Career Dissatisfaction Affect the Ability of Family Physicians to Deliver High-Quality Patient Care? DeVoe, Jennifer; Fryer Jr., George E.; Hargraves, Lee; Phillips, Robert L.; Green, Larry A. // Journal of Family Practice;Mar2002, Vol. 51 Issue 3, p223 

    OBJECTIVES: A usual source of care is associated with better health outcomes. Dissatisfaction among family physicians and general practitioners (FP/GPs) may compromise the accessibility of a usual source of care and the quality of services. We examined the association between FP/GP...

  • Making Time to LISTEN. Dykes, James R. // Family Practice Management;Sep2004, Vol. 11 Issue 8, p45 

    The article reports that family physicians should spend quality time with patients. The author, who is a family physician created a model of practice that allows him to spend quality time with his patients. He has developed rewarding physician-patient relationship with his patients. He trimmed...

  • Patients with prior opiate prescriptions more likely to prolong use after trauma. Higgins, Thomas F. // Orthopedics Today;Dec2013, Vol. 33 Issue 12, p28 

    The author comments on a study published in a 2013 issue of the "Journal of Bone and Joint Surgery," which found that trauma patients who use opiates pre-injury are at higher risk of prolong use beyond 12 weeks post-injury.

  • Health outcomes of women exposed to household alcohol abuse: A family practice training site research network (FPTSRN) study. Ryan, John G.; Verardo, Louis T.; Kidd, Jeanne M.; Horbatuk, Elisa L.; Bonanno, Richard; Fahrenwald, Roxanne; Kirsch, Scott; Stretch, Gwendolyn V. // Journal of Family Practice;Nov1997, Vol. 45 Issue 5, p410 

    BACKGROUND. There is a paucity of knowledge about the effects of exposure to alcohol abuse in the household on women who do not abuse alcohol. The purpose of this study was to determine whether women who did not abuse alcohol demonstrated any health-related adverse effects because they lived...

  • On-Site Drugs of Abuse Urinary Screening Tests for the Management of Opiate-Addicted Patients: A Survey among French General Practitioners. Dupouy, Julie; Bismuth, Serge; Oustric, St├ęphane; Lapeyre-Mestre, Maryse // European Addiction Research;Jun2012, Vol. 18 Issue 4, p175 

    In France, opiate-addicted patients are mainly managed by general practitioners (GPs). Because on-site abuse drugs urinary screening tests (ODUTs) are now on the market, we investigated French GPs' knowledge and practices concerning drug tests with a focus on ODUTs. We conducted a descriptive...

  • Models for Integrating Buprenorphine Therapy into the Primary HIV Care Setting. Basu, Sanjay; Smith-Rohrberg, Duncan; Bruce, R. Douglas; Altice, Frederick L. // Clinical Infectious Diseases;3/1/2006, Vol. 42 Issue 5, p716 

    Opiate dependence among human immunodeficiency virus (HIV)-infected patients has been associated with negative clinical outcomes, yet few affected patients receive appropriate and coordinated treatment for both conditions. The introduction of buprenorphine maintenance therapy into HIV care...

  • A&E OFFERS POOR ADVICE ON ALCOHOL.  // Nursing Standard;3/22/2006, Vol. 20 Issue 28, p10 

    The article discusses the results of a survey on the treatment receives by patients with alcohol problems from nurses and other professionals. One in every eighteen patients who are alcohol dependent gets the appropriate treatment. Alcohol awareness is lacking among nurses and other healthcare...

  • Implications on Managed Care in Managing Undertreated Chronic Pain. Stanos, Steven // Journal of Managed Care Medicine;2011, Vol. 14 Issue 2, p10 

    An understanding of chronic pain pathophysiology can help providers and managed care organizations better manage patients with chronic pain syndromes. Treatment of chronic pain with medications should target the underlying pathophysiologic changes. In addition to other medications, this may...

  • Patients with prior opiate prescriptions more likely to prolong use after trauma.  // Orthopedics Today;Dec2013, Vol. 33 Issue 12, p1 

    The article discusses a study published in an issue of the "Journal of Bone and Joint Surgery," which found that trauma patients who use opiates pre-injury are at higher risk to prolong use beyond 12-weeks post injury.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics