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R. Jan Gurley's blog posts

posted 07/16/2020
As we look to understand the public health response to COVID-19, Dr. Jan Gurley of the San Francisco Department of Public Health explains what it means when a state institutes Crisis Standards of Care, as Arizona has.
posted 03/27/2014

The U.S. faces an impending doctor shortage because not enough new ones are being trained to meet the needs of the U.S. population and a large portion of doctors are reaching retirement age. Will impending changes within the medical industry further exacerbate the problem?

posted 02/20/2014

The idea is that Electronic Health Records will reduce paperwork and administrative costs. But as more providers jump onboard, the negative impacts seem to be growing.

posted 02/06/2014

The data on the much-lauded Patient Centered Medical Home approach, a cornerstone of ACA, shows that it is expensive, onerously bureaucratic, a drain on health care resources, especially for primary care providers, and a distraction from health care delivery.

posted 01/30/2014

Underwhelming results demonstrate that after all the money and effort invested in bureaucracy, Patient Centered Medical Homes do not contribute to actual patient care.

posted 01/21/2014

Patient-Centered Primary Care Medical Homes have been around for decades. The more you know about the intention behind them, the more you wonder, "How could that not be a good idea?" Based on the research, cost of implementation and effect on patient care, the answer I found may surprise you.

posted 07/30/2013

Hollywood stars, like Glee’s Cory Monteith, aren’t the only Americans struggling with addiction that kills. Monteith, who died of a heroin and alcohol overdose earlier this month, exemplifies the public health tragedy that is opioid overdose deaths in America.

posted 06/05/2013

Although I believe we start with data and move forward, it is our narratives and our insights that guide us. Still, for me, this was ultimately a numbers game in the end: three tumors, two breasts, one very difficult decision.

posted 05/30/2013

There is nothing so horrifying as when your doctor is too nice to you. I knew I had cancer before they even told me because of the hushed voices, the pats on my shoulder, and the way, suddenly, no one cared how much time was being spent on my visit.

posted 05/16/2013

I had decided to get genetic testing, and I told everyone who cared that if it came back positive, I'd have both my breasts removed. I thought I was ready for that.

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R. Jan Gurley 's Blog

As we look to understand the public health response to COVID-19, Dr. Jan Gurley of the San... more »
posted 07/16/20
The U.S. faces an impending doctor shortage because not enough new ones are being trained to meet... more »
posted 03/27/14
The idea is that Electronic Health Records will reduce paperwork and administrative costs. But as... more »
posted 02/20/14

R. Jan Gurley 's Latest Comments

Posted by docgurley | Friday, 2010-08-20, 13:47
I have found that general readers will specifically comment on links to academic articles - often...
Posted by docgurley | Monday, 2010-07-05, 11:32
Great insight here. I especially appreciate the comments about consent when healthcare providers...

R. Jan Gurley 's Work

You might think that spending ten years on the street, two of them at 6th and Mission, might mean that a person is a hopeless case. These four amazing people illustrate homeless success.

She’d slept one night in the Mission District under a bush, and woke in the dark when someone grabbed her ankle. Four men held her down and raped her. Now, almost three months later, she spoke in a flat, detached voice like this was somehow normal, just another blank to be filled in like her cough, or whether she had an allergy, her eyes drifting all around the room.

Awareness of the risks to children from not having a stable home also means that parents who are already desperately trying to juggle the demands of managing a life without an address, or a stable food supply, or often a phone, are also frantically trying to do what’s best for their kids, often under mind-blowingly stressful circumstances.