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Primary Care: America's Health in a New Era (1996)

Chapter: B Public Hearing

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Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
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B Public Hearing

COMMITTEE ON THE FUTURE OF PRIMARY CARE

8:30 a.m.–4:30 p.m.

December 5, 1994

Mirage I Ballroom

Holiday Inn Georgetown

2101 Wisconsin Avenue, N.W.

Washington, D.C. 20007

AGENDA

8:30 a.m.–8:45 a.m.

Opening Comments and Introduction, Neal A Vanselow of the Institute of Medicine President's Welcome, Kenneth I. Shine

8:45 a.m.–9:40 a.m.

Panel I

8:45 a.m.

American Academy of Family Physicians C. Earl Hill

8:50 a.m.

National Board of Medical Examiners Donald E. Melnick

8:55 a.m.

American Society of Internal Medicine Philip T. Rodilosso

9:00 a.m.

Association of State and Territorial Health Officials E. Liza Greenberg

9:05 a.m.

Group Health Association of America Bruce Davis

9:10 a.m.–9:40 a.m.

Committee Discussion

Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×

9:45 a.m.–10:40 a.m.

Panel II

9:45 a.m.

Association of American Medical Colleges Jordan J. Cohen

9:50 a.m.

American College of Obstetricians and Gynecologists Ganson Purcell, Jr.

9:55 a.m.

American College of Nurse-Midwives Deanne Williams

10:00 a.m.

FHP International, Inc. Robert Larsen

10:05 a.m.

Health Insurance Plan of Greater New York Jesse Jampol

10:10 a.m.–10:40 a.m.

Committee Discussion

10:45 a.m.–11:00 a.m.

Break

11:00 a.m.–11:55 a.m.

Panel III

11:00 a.m.

North American Primary Care Research Group Larry Culpepper

11:05 a.m.

Society of General Internal Medicine Eric B. Larson

11:10 a.m.

Health Care Financing Administration Sam S. Shekar

11:15 a.m.

Agency for Health Care Policy and Research Carolyn Clancy

11:20 a.m.

American College of Preventive Medicine Michael Parkinson

11:25 a.m.–11:55 a.m.

Committee Discussion

12:00 p.m.–1:00 p.m.

Lunch Break

1:00 p.m.–1:55 p.m.

Panel IV

1:00 p.m.

American Board of Internal Medicine Harry R. Kimball

1:05 p.m.

National Association of Community Health Centers H. Jack Geiger

1:10 p.m.

American Academy of Physician Assistants Ann Davis

Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×

1:15 p.m.

American Osteopathic Association Edward A. Loniewski

1:20 p.m.

American College of Physicians David Babbott

1:25 p.m.–1:55 p.m.

Committee Discussion

2:00 p.m.–2:55 p.m.

Panel V

2:00 p.m.

American Academy of Pediatrics Joseph R. Zanga

2:05 p.m.

American Medical Student Association Anne Olinger

2:10 p.m.

American Academy of Ophthalmology Fora Lum

2:15 p.m.

American Geriatrics Society David B. Reuben

2:20 p.m.

American Dental Association Kevin J. McNeil

2:25 p.m.–2:55 p.m.

Committee Discussion

3:00 p.m.–4:00 p.m.

Panel VI

3:00 p.m.

American Physical Therapy Association Marilyn Moffat

3:05 p.m.

American College of Nurse Practitioners Marilyn Edmunds

3:10 p.m.

American Psychiatric Association James Griffith

3:15 p.m.

American Medical Association Richard A. Cooper

3:20 p.m.

American Association of Colleges of Nursing Geraldine Bednash

3:25 p.m.

American Nurses Association Marilyn Chow

3:30 p.m.–4:00 p.m.

Committee Discussion

4:00 p.m.–4:30 p.m.

Comments from Observers If Time Allows

4:30 p.m.

Closing Remarks from the Committee Chair

4:30 p.m.

Adjourn

Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×

Written Testimony Received For Public Hearing On The Future Of Primary Care

Academy of General Dentistry

Ambulatory Pediatric Association

American Academy of Allergy and Immunology

American Academy of Family Physicians

American Academy of Neurology

American Academy of Ophthalmology

American Academy of Orthopaedic Surgeons

American Academy of Otolaryngology

American Academy of Pediatric Dentistry

American Academy of Pediatrics

American Academy of Physician Assistants

American Association of Colleges of Nursing

American Association of Colleges of Osteopathic Medicine

American Association of Dental Schools

American Association of Public Health Dentistry

American Board of Family Practice

American Board of Internal Medicine

American Board of Pediatrics

American College of Allergy and Immunology

American College of Medical Genetics

American College of Nurse-Midwives

American College of Nurse Practitioners

American College of Obstetricians and Gynecologists

American College of Occupational and Environmental Medicine

American College of Osteopathic Obstetricians and Gynecologists

American College of Osteopathic Pediatricians

American College of Physicians

American College of Preventive Medicine

American College of Rheumatology

American Dental Association

American Dental Hygienists' Association

American Geriatrics Society

American Group Practice Association

American Medical Association

American Medical Informatics Association

American Medical Student Association/Foundation

American Nurses Association

American Optometric Association

American Osteopathic Association

American Pharmaceutical Association

Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×

American Physical Therapy Association

American Psychiatric Association

American Public Health Association

American Public Health Association—Oral Health Section

American School Health Association

American Society of Clinical Oncology

American Society of Hematology

American Society of Internal Medicine

American Speech-Language Hearing Association

American Thoracic Society

American Urological Association

Association of American Medical Colleges

Association of Medical School Pediatric Department Chairmen, Inc.

Association of Professors of Medicine

Association of Program Directors in Internal Medicine

Association of State and Territorial Directors of Nursing

Association of State and Territorial Health Officials

Association of Teachers of Preventive Medicine

Council on Resident Education in Obstetrics and Gynecology

Department of Defense—the Air Force

Department of Defense—the Navy

Department of Health and Human Services—Agency for Health Care Policy and Research

Department of Health and Human Services—Substance Abuse and Mental Health Services Administration

FHP International

Group Health Association of America

Group Health Cooperative of Puget Sound

Health Insurance Plan of Greater New York

Healthy Mothers, Healthy Babies Coalition

Henry Ford Health System

International Hearing Society

National Alliance of Nurse Practitioners

National Association of Community Health Centers

National Association of Pediatric Nurse Associates & Practitioners

National Board of Medical Examiners

National Governors' Association

National Institute of Mental Health

National Institute on Alcohol Abuse and Alcoholism

National Institute on Drug Abuse

National Public Health and Hospital Institute

National Safe Kids Campaign

North American Primary Care Research Group

Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×

Society for Academic Emergency Medicine

Society of Adolescent Medicine

Society of General Internal Medicine

Society of Teachers of Family Medicine

World Organization for Care in the Home and Hospice

Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×
Page 268
Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×
Page 269
Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×
Page 270
Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×
Page 271
Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×
Page 272
Suggested Citation:"B Public Hearing." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×
Page 273
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Primary Care: America's Health in a New Era Get This Book
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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.

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