RT Journal
A1 Ventres W
T1 Out of practice: Fighting for primary care medicine in america
JF JAMA
JO JAMA
YR 2012
FD December 26
VO 308
IS 24
SP 2626
OP 2626
DO 10.1001/jama.308.24.2626-a
UL http://dx.doi.org/10.1001/jama.308.24.2626-a
AB 
However, Barken does an outstanding job of chronicling the challenges widespread in practicing primary care medicine in the early 21st century, especially in relation to the realities of an aging population. He notes clearly how issues such as polypharmacy, functional incapacity, and “the four horsemen of the geriatric apocalypse”—risk of falls, dementia, depression, and urinary incontinence (p 122)—make this practice complex and demanding. He insightfully demonstrates how social concerns, including family dynamics and community norms, are part and parcel of the work of attending to patients in primary care.