I-Team In-Depth

Can Independent Primary Care Doctors Survive Dominance of Hospital Health Systems?

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Every day, Dr. Leslie Miller of Fairfield thinks about selling her practice to a hospital health system.

“Everybody who is in this environment thinks every day of throwing in the towel and joining a hospital,” said Miller, a sole practitioner in primary care for 20 years. “The business side is the problem,” she said, referring to expensive and time-consuming requirements of medical insurance and government regulations.

Dr. Khuram Ghumman took the unusual route of working in a hospital system first, then going into private primary care practice because he objects to the “corporatization” of health care. He said conflicts of interest can arise if an owner and its employed physicians have different objectives. “I wanted to be responsible to my patients,” Ghumman said.

Nationally and in Connecticut, hospital systems and private businesses are increasingly buying private medical practices and taking over their business operations. American Medical Association statistics show just 46% of physicians owned their own practices in 2018, down from 75% in 1983.

Disparities

Physicians’ Biases, Lack Of Knowledge Are Partly To Blame For Health Care Disparities Among People With Disabilities

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Jennifer Lortie is accustomed to facing obstacles to health care.

The 37-year-old assistive technology specialist for United Cerebral Palsy of Eastern Connecticut has cerebral palsy. As she describes it, her condition, which resulted in quadriplegia, means “pretty decent use of my left arm, very limited [use] of right arm, and no use of my legs.”

I-Team In-Depth

Medical Providers Are Taking Nature Therapy Seriously

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Schools were closed and online learning was in full swing last March when a teenager and her mom arrived at Fair Haven Community Health Care in New Haven.

The girl had been experiencing chest pains and her worried mother thought she should go to the emergency room, recalled Amanda E. DeCew, a Fair Haven clinic director and pediatric nurse.

Disparities

Education, Across All Demographics, Is An Effective Prescription To Combat Diabetes

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Since Nydia Rodriguez met Wanda Santiago about a year ago, the New London resident has lost 20 pounds and gotten her Type 2 diabetes under control. That’s because Santiago, Lawrence + Memorial Hospital’s bilingual diabetes educator, has taught Rodriguez, a former nurse from Puerto Rico, about portion control, sugar substitutes and how to cut back on bread and pasta.

Medical Practices Become Another Pandemic Casualty

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After 35 years as an oral surgeon, Dr. Arthur Wilk closed his practice in Clinton following “daunting challenges” caused by the COVID-19 pandemic. In Darien, Dr. Cecile Windels sold her pediatric practice to a hospital health system after enduring significant income losses.