A Manpower Policy for Primary Health Care Report of a Study (1978) / Chapter Skim
Currently Skimming:
Chapter 3: Practice Arrangements for Primary Health Care
Chapter 3: Practice Arrangements for Primary Health Care
Pages 29-40
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 29... ...
CONTENT OF PRIMARY CARE PRACTICE Currently, primary care is being delivered in physicians' offices, hospital emergency rooms, hospital outpatient departments, clinics, neighborhood health centers, and other provider units. 3/ Although hospital settings are one site for rendering primary care, 4/ most is still delivered in physicians' offices.
|
From page 30... ...
Federal legislation identifies family medicine, general internal medicine, and general pediatrics as primary care specialties, 12/ whereas the American Medical Association also includes obstetrics and gynecology. Recent studies suggest that other medical specialists spend considerable time in delivering primary care.
|
From page 31... ...
Internists are most likely to refer patients to other physicians and facilities, and obstetricians and gynecologists hospitalize patients most often. 22/ PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS PROVIDING PRIMLY CAM In the last decade, members of two new professional categories, physician assistants and nurse practitioners, grouped together under the name of new health practitioners, have become providers of primary care.
|
From page 33... ...
The data on the practice of primary care by general and family physicians indicate they currently are the principal providers of primary care in an office setting. 30/ They receive the largest percentage of patient visits for primary care problems and care for a broad range of conditions without the need for referral.
|
From page 34... ...
Nurse practitioners and physician assistants deliver quality care which is accepted by patients and physicians. In addition, some new health practitioners provide preventive services, health education, and patient counseling, thereby extending the range of primary care services usually delivered.
|
From page 35... ...
_ Pluralism is a useful feature of and, to the extent possible, should be preserved in the selection of practice units for primary care. The competition engendered by choices of primary care practice units may prove stimulating to innovation in the delivery of primary care and to perfecting current modes of delivery.
|
From page 36... ...
In doing so, the committee recognizes that ambulatory visits and primary care visits are not equivalent, but thinks the errors and misinterpretations introduced by such an assumption are not large enough to prejudice policy decisions. (For a further discussion, see staff papers, "A Compilation of Data on the Content of Primary Care Practice" and "An Evaluation of Data Sources on the Content of Medical Practice.")
|
From page 37... ...
Spitell and R.E. Weeks, "Participation by Internists in Primary Care: Results of a Survey of Mayo Clinic Alumni," Archives of Internal Medicine 135, Issues #2 (Feb.
|
From page 38... ...
19. For a further discussion of these and other dimensions of primary care, see staff paper "A Compilation of Data on the Content of Primary Care Practice." 20.
|
From page 39... ...
Department of Health, Education, and Welfare, unpublished tabulations from the National Ambulatory Medical Care Survey, 1975. See staff paper, "A Compilation of Data on the Content of Primary Care." 32.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.