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A Year of Mixed Messages for Family Practice
Marjorie A. Bowman, MD, MPA
Arch Fam Med. 1993;2(6):595-596.
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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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ONCURRENT FORCES are both helping and hurting the field of family practice, and this year's events seem particularly contradictory.
THE DIFFICULTIES
The Clinical Laboratory Improvement Amendments are affecting the office practice of many family physicians. While the cost of these regulations was supposed to be low, many family physicians have found them to be burdensome and costly; for some, it means the end of their office laboratories, formerly a source of income and increased convenience and quality for the patient.1 Furthermore, many physicians question the scientific basis of many aspects of these regulations2 and feel they are more a hindrance than a help.
The Occupational Safety and Health Administration regulations, designed to reduce the in-office transmission of infectious agents, are overall very costly compared with the actual number of transmissions that have been proven, especially since hepatitis B transmission can generally be prevented by appropriate vaccination. The Americans
. . . [Full Text PDF of this Article]
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