Defining Primary Care An Interim Report (1994) / Chapter Skim
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Part 2: Earlier Definitions of Primary Care: A Review
Part 2: Earlier Definitions of Primary Care: A Review
Pages 8-14
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From page 8... ...
New public policies were aimed at increasing both the total number of physicians and other hearth care practitioners and the number of primary care physicians, the latter through support of residency programs in family practice, general internal medicine, and general pediatrics. Other programs supported the training of nurse practitioners and physician assistants.
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From page 9... ...
. While fully acknowledging the need for a clearer sense of primary care to guide policymaking at the national and state level, the committeebelieves a carefulbut multidimensional view of primary care will permit a far richer discussion of organizational opportunities, professional development and satisfaction, health curricula reform, and improved health care than any single-dimension definition.
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From page 10... ...
The First IOM Definition In 1978, the IOM published a report entitled A Manpower Policyfor Primary Health Care: Report of a Study. The second chapter, which had been released a year earlier as an interim report, defined the essence of primary care as it should and could be practiced: "accessible, comprehensive, coordinated and continual care delivered by accountable providers of personal health services." That definition has been widely quoted and used.
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From page 11... ...
There are, however, vital and important linkages that must be developed between primary care and public health programs that will be addressed in the full IOM report. The committee also notes the increasing intersections and changing connections between public health and personal health care delivery that are occurring as the country renews attention to the kinds of services that should be provided in the two sectors.
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From page 12... ...
Her analysis of primary care in the United States revealed a health care system based predominantly on unregulated, fee-for-service practice, and her rating of the attainment of primary care in the United States was the lowest of the 10 countries in which primary care was measured.
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From page 13... ...
These plans stipulate only that individuals sign up with (or be assigned to) clinicians who are designated as their primary care providers and who authorize access to other health services.
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From page 14... ...
14 DEFINING PRIMARY CARE are managing costs ordy. It is, however, the trend toward truly integrated delivery systems that forms the context for the committee's definition of primary care and for its furler deliberation for the full report.
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