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The Changing Paradigm of Neurologic Practice and CareImplications for the Undergraduate Curriculum
Matthew Menken, MD
Arch Neurol. 1990;47(3):334-336.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Neurologic practice and care have been modified in many important ways during the past 30 years, to adapt to the explosion of new information and new technology. Moreover, of great influence on the matrix of care are the effects that result from major social and demographic changes in our society. For example, the aging of the population has increased the burden of chronic illness, such as arthritis, cardiovascular disorders, and Alzheimer's disease. Changes in the financing of care have resulted in fewer hospital admissions of much sicker patients, and a concomitant increase in the volume of ambulatory care.1 Attitudes about health care have changed, fueled in part by the escalation of expenditures, estimated to be $550 billion in 1988, or nearly 12% of the US gross national product.2 A respected economist suggested in 1986 that some reduction of physician services may be socially beneficial, even if it decreases
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Neurology, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, New Brunswick.
Footnotes
Accepted for publication July 11, 1989.
Presented in part before the 24th Canadian Congress of Neurological Sciences, Ottawa, June 17, 1989.
Reprint requests to 1527 Highway 27, Somerset, NJ 08873 (Dr Menken).
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