Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge base--as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers * The scope of primary care. * Its philosophical underpinnings. * Its value to the patient and the community. * Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified.Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systems--important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Molla S. Donaldson, Karl D. Yordy, Kathleen N. Lohr, and Neal A. Vanselow, Editors; Committee on the Future of Primary Care, Institute of Medicine
1 Front Matter; 2 Summary; 3 Introduction; 4 Defining Primary Care; 5 The Value of Primary Care; 6 The Nature of Primary Care; 7 The Delivery of Primary Care; 8 The Primary Care Workforce; 9 Education and Training for Primary Care; 10 Research and Evaluation in Primary Care; 11 Implementation Strategy; 12 Appendixes; 13 A Site Visits; 14 B Public Hearing; 15 C Workshops; 16 D Mental Health Care in the Primary Care Setting; 17 E Life in the Kaleidodscope: The Impact of Managed Care on the U.S. Health Care Workforce and a New Model for the Delivery of Primary Care; 18 F Integrating Our Primary Care and Public Health Systems: A Formula for Improving Community and Population Health; 19 G Committee Biographies; 20 Index
National Research Council, Division of Behavioral and Social Sciences and Education, Institute of Medicine, and Families Board on Children, Youth, Steve Olson
Institute of Medicine, Board on the Health of Select Populations, and Transgender Health Issues and Research Gaps and Opportunities Committee on Lesbian, Gay, Bisexual
Institute of Medicine, Board on Population Health and Public Health Practice, Division of Health Promotion and Disease Prevention, Division of International Health
Institute of Medicine, Committee to Develop Methods Useful to the Department of Veteran Affairs in Estimating Its Physician Requirements, Joseph Lipscomb
Institute of Medicine, Division of Health Care Services, Committee to Design a Strategy for Quality Review and Assurance in Medicare, Kathleen N. Lohr, Jo Harris-Wehling, Molla S. Donaldson