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United Campus Ministry papers, 1970-1972
1971-10-30 Summary Report from Roger Simpson Page 4
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-4- F) Douglas Lloyd MD, Duke U Med Center, Intern in Ped. Pres. SAMA "Housing Staff in 70s: decade of transition" Why new MD ahead? HC and med ed not adequate. Saw poor Delta, migrant, war Med. S. not answer: sought answers in other vocations. Has all problems of a "non-system: MD too parocjial to lead, head HC team? Look abroad for models: England? Sweden? Holland? Russia? Someone must advocate for the patient: allign with people of community who have concerns for persons: clergy, social workers, etc. Express zeal Consumers tired of having system run for them. Health is multi-faceted: housing, food, education, jobs, etc. Med. S. is socializing: creates caste system & iconoclasts forced out. Hard to even talk change, so students turn to own ranks. SAMA, HMO, SCHR, These students of 60 now graduating, they will make the transition of the 70's St. Louis House Staff Conf., '71: (Next Conf: March '72, Atlanta) -Comp. HC: quality without $$ barriers: easily accessible to all -Get on key committees (Houes staff delivers most person care in Hosp.) Need more para-med. persons: up efficiency and make MD more productive Need uniform National standards (rather than state boards) Use community as the laboratory Develop new models of HC delivery. Can still be scientifically rigourous. How do we measure quality of med. care? Parameters can be defined. Create new types of MD generally against social change Create new persons in Med. School (Now mold all into same image) Why do sub-specialists become Dept. Heads? Deans? (Not trained for this) Must reject MD & draft; MD skills needed in other places More women needed,,,more flexibility Better $$ support for house staff: have special needs. Continuing EDUCATION needs to be provided NEED SCHOOLS OF HEALTH NOT DISEASE G) Congressman Paul Rogers. Chmn House Sub. C. on Health & Environment "Health: Old Problems, - New Remedies" In Book of Common Prayer: "..we have done what ought not to have done,,, and there is no health in us" Words precisely describe HC delivery Idea of coherent system of HC pgms. is a myth: fragmented, disorganized, disorderly. HEW as a dept is falling. H. is not put first. Budget cover up:22:23 for H is myth. This $$$ covers broad range of acts some no relation to H. (Soc. Sec. trust funds) $$ for armed forces, nuclear energy in space, etc. NOT RELATED TO H. OF PEOPLE. No Govt. center to evaluate HEALTH monry ; no plan to see what programs good. Volume of Health leg. is amazing. Got to decide: what to do..how to do it. Then do it. NEED SINGLE AUTHORITATIVE ENTITY FOR HEALTH IN FEDERAL GOVERNMENT: SECT. OF HEALTH NEEDED. Office of Budget and Management really controls (Offer 40% of what need) Universities & Colleges are a national resource: must be supported as such Must support Med. Ed. per se. Where Health services are unavailable, must take action. "Men of good will cannot pat themselves on back when so many areas of desperate need exist". Med. Schl: been only in ed.; now must get involved in social change, and get back to contemporary role.: help guide delivery and service for Health; be regional resource. "When time for change comes, if institutions do not change, State gets the job - & institutions become more rigid with regulations" Got to up-grade the quality of HC in this country. (CONT)
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-4- F) Douglas Lloyd MD, Duke U Med Center, Intern in Ped. Pres. SAMA "Housing Staff in 70s: decade of transition" Why new MD ahead? HC and med ed not adequate. Saw poor Delta, migrant, war Med. S. not answer: sought answers in other vocations. Has all problems of a "non-system: MD too parocjial to lead, head HC team? Look abroad for models: England? Sweden? Holland? Russia? Someone must advocate for the patient: allign with people of community who have concerns for persons: clergy, social workers, etc. Express zeal Consumers tired of having system run for them. Health is multi-faceted: housing, food, education, jobs, etc. Med. S. is socializing: creates caste system & iconoclasts forced out. Hard to even talk change, so students turn to own ranks. SAMA, HMO, SCHR, These students of 60 now graduating, they will make the transition of the 70's St. Louis House Staff Conf., '71: (Next Conf: March '72, Atlanta) -Comp. HC: quality without $$ barriers: easily accessible to all -Get on key committees (Houes staff delivers most person care in Hosp.) Need more para-med. persons: up efficiency and make MD more productive Need uniform National standards (rather than state boards) Use community as the laboratory Develop new models of HC delivery. Can still be scientifically rigourous. How do we measure quality of med. care? Parameters can be defined. Create new types of MD generally against social change Create new persons in Med. School (Now mold all into same image) Why do sub-specialists become Dept. Heads? Deans? (Not trained for this) Must reject MD & draft; MD skills needed in other places More women needed,,,more flexibility Better $$ support for house staff: have special needs. Continuing EDUCATION needs to be provided NEED SCHOOLS OF HEALTH NOT DISEASE G) Congressman Paul Rogers. Chmn House Sub. C. on Health & Environment "Health: Old Problems, - New Remedies" In Book of Common Prayer: "..we have done what ought not to have done,,, and there is no health in us" Words precisely describe HC delivery Idea of coherent system of HC pgms. is a myth: fragmented, disorganized, disorderly. HEW as a dept is falling. H. is not put first. Budget cover up:22:23 for H is myth. This $$$ covers broad range of acts some no relation to H. (Soc. Sec. trust funds) $$ for armed forces, nuclear energy in space, etc. NOT RELATED TO H. OF PEOPLE. No Govt. center to evaluate HEALTH monry ; no plan to see what programs good. Volume of Health leg. is amazing. Got to decide: what to do..how to do it. Then do it. NEED SINGLE AUTHORITATIVE ENTITY FOR HEALTH IN FEDERAL GOVERNMENT: SECT. OF HEALTH NEEDED. Office of Budget and Management really controls (Offer 40% of what need) Universities & Colleges are a national resource: must be supported as such Must support Med. Ed. per se. Where Health services are unavailable, must take action. "Men of good will cannot pat themselves on back when so many areas of desperate need exist". Med. Schl: been only in ed.; now must get involved in social change, and get back to contemporary role.: help guide delivery and service for Health; be regional resource. "When time for change comes, if institutions do not change, State gets the job - & institutions become more rigid with regulations" Got to up-grade the quality of HC in this country. (CONT)
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