BOX S-1 Committee Recommendations

Chapter 2

2.1 To Adopt the Committee's Definition

This committee has defined primary care as the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. The committee recommends the adoption of this definition by all parties involved in the delivery and financing of primary care and by institutions responsible for the education and training of primary care clinicians.

Chapter 5

5.1 Availability of Primary Care for All Americans

The committee recommends development of primary care delivery systems that will make the services of a primary care clinician available to all Americans.

5.2 Health Care Coverage for All Americans

To assure that the benefits of primary care are more uniformly available, the committee recommends that the federal government and the states develop strategies to provide health care coverage for all Americans.

5.3 Payment Methods Favorable to Primary Care

The committee recommends that payment methods favorable to the support of primary care be more widely adopted.

5.4 Payment for Primary Care Services

The committee recommends that when fee-for-service is used to reimburse clinicians for patient care, payments for primary care be upgraded to reflect better the value of these services.

5.5 Practice by Interdisciplinary Teams

The committee believes that the quality, efficiency, and responsiveness of primary care are enhanced by the use of interdisciplinary teams and recommends the adoption of the team concept of primary care wherever feasible.

5.6 The Underserved and Those with Special Needs

The committee recommends that public or private programs designed to cover underserved populations and those with special needs include the provision of primary care services as defined in this report. It further recommends that the agencies or organizations funding these programs carefully monitor them to ensure that such primary care is provided.

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