April 1974

Making Health Teams Work

Author Affiliations

New York; Boston
From the Department of Community Health, the Albert Einstein College of Medicine, New York (Dr. Wise), the Sloan School of Management, Massachusetts Institute of Technology, Boston (Dr. Rubin and Mr. Beckard), and Teachers College, Columbia University, New York (Mr. Beckard).

Am J Dis Child. 1974;127(4):537-542. doi:10.1001/archpedi.1974.02110230083014

For a moment, we ask you to role play with us. Imagine that you are a pediatrician in private practice working alone or with a partner. You encounter the following problems one morning: (1) During a routine precamp physical examination you discover that an 8-year-old boy is having serious problems in school. (2) A 10-year-old girl's asthma cleared up while living with an aunt only to become severe again now that she has returned home. (3) A surgeon advises you that an 18-month-old boy should be hospitalized for a hernia repair. (4) You learn that the mother of three children who are your patients has developed a rapidly progressive malignant neoplasm. (5) You hear a murmur in a child who is not thriving and suspect he may need heart surgery.

Given these situations, how would you choose to deal with them?

Some of you may decide to treat only those

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