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OCR for page R7
Defining Primary Care:: An Interim Report
Contents
SUMMARY
1
PART 1:
INTRODUCTION
3
Purpose of Study and of This Interim Report
3
The Contemporary Context for the Definition
3
Why a New Definition Is Needed
5
Critical Assumptions
6
Organization of the Interim Report
7
PART 2:
EARLIER DEFINITIONS OF PRIMARY CARE: A REVIEW
8
Interest in Primary Care
8
Categories Used to Define Primary Care
8
Early Definitions
10
The First IOM Definition
10
Distinguishing Public and Personal Health Services
11
The 1984 Report on Community-Oriented Primary Care
11
A 1992 Assessment of U.S. Primary Care
12
Changes in Health Care Delivery Today
13
PART 3:
THE NEW DEFINITION AND AN EXPLANATION OF TERMS
15
Patient
18
Family
18
Community
18
OCR for page R8
Defining Primary Care:: An Interim Report
Clinician
20
Partnership
20
Health Care Needs and Health Care Services
21
Integrated
22
Accessible
28
Accountable
29
PART 4:
ACHIEVING THE GOALS OF PRIMARY CARE AS DEFINED
34
PART 5:
ISSUES TO BE ADDRESSED IN THE FULL REPORT
35
REFERENCES
39
APPENDIX: CHARACTERISTICS OF PRIMARY CARE DESCRIBED IN THE FIRST IOM REPORT (IOM 1978)
41
