Word: markovchick
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Managed care was meant to lighten the load on emergency services by emphasizing affordable preventive care that would keep people out of the ED. Instead, says Dr. Vincent Markovchick, emergency-services chief at Denver Health Medical Center, "the exact opposite has happened." Like many ED docs, he contends that primary-care physicians--feeling overworked and discouraged from doing expensive "extra" tests like an MRIs or EKGs--often hand off patients to the ED. Now patients who turn up there are sicker than ever before. Today 20% of visitors are admitted to the hospital, compared with around 12% a decade...
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