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

Chapter: A Site Visits

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Suggested Citation:"A Site Visits." 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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A Site Visits

Location, dates, organizations, and groups with whom the committee met are listed below.

Minneapolis/St. Paul and Rochester, Minnesota: November 13–16, 1994

Minneapolis/St. Paul

Park Nicollet Medical Center

Institute for Clinical Systems Integration

University of Minnesota Institute of Health Services Research and Policy

Hennepin County Medical Society

Health Data Institute

Group Health

Rochester

Mayo Clinic and Foundation

Los Angeles and San Diego, California: February 21–24, 1995

Los Angeles

Kaiser Permanente

Kaiser Center

Center for Corporate Innovation Incorporated

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

Department of Health Services Facility

San Antonio Health Clinic

Watts Health Foundation

Department of Health Services Facility

Hubert H. Humphrey Comprehensive Health Center

Sepulveda Veterans Administration Medical Center

El Proyecto del Barrio

Los Angeles County Medical Society

Venice Family Clinic

FHP

Mullikin Medical Center—Pioneer Hospital

San Diego

Sharp—Clinical Work Station

Sharp—The Birthplace

Sharp—Gateway Medical Group

Department of Public Health/Children's Hospital

El Paso, Texas, and Albuquerque, New Mexico: April 10–13, 1995

El Paso

Clinica Guadalupana

Kellogg Community Health Education Center

Tigua Clinic, Tigua Indian Reservation

Thomason Hospital

Albuquerque

Ben Archer Health Center

Cuba Health Center

Guadalupe County Hospital

Indian Health Service

Jemez Clinic

University of New Mexico

Family Practice

Rural Outreach Committee

North Carolina: April 19–20, 1995

Dinner Meeting with Directors of the North Carolina Office of Rural Health and Resource Development

Suggested Citation:"A Site Visits." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×
Scotland Neck

Our Community Hospital, Inc.

Jackson

Rural Health Group, Inc.

Boston, Massachusetts: July 27–28, 1995

Boston

Boston City Hospital-Boston University

Center for Primary Care

Harvard Medical School

Department of Ambulatory Care and Prevention

Primary Care Residency Program

New England Medical Center

Tufts University School of Medicine

The Primary Care Outcomes Research Institute

Department of Medicine

Department of Pediatrics

Division of Clinical Decision Making

Primary Care/Managed Care

The Health Institute

East Boston

East Boston Neighborhood Health Center

Brookline

The Center for Physician Development

Harvard Pilgrim Health Plan

PruCare

Framingham

Cigna Health Care of Massachusetts

Suggested Citation:"A Site Visits." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×
Page 265
Suggested Citation:"A Site Visits." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×
Page 266
Suggested Citation:"A Site Visits." Institute of Medicine. 1996. Primary Care: America's Health in a New Era. Washington, DC: The National Academies Press. doi: 10.17226/5152.
×
Page 267
Next: B Public Hearing »
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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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