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Appendix B: Primary Care: America's Health in a New Era Report Recommendations
Pages 403-408

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From page 403...
... RECOMMENDATIONS 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.
From page 404...
... 5.7 Primary Care and Public Health The committee recommends that health care plans and public health agencies develop specific written agreements regarding their respective roles and relationships in (a) maintaining and improving the health of the communities they serve and (b)
From page 405...
... 6.3 Addressing Issues of Geographic Maldistribution The committee recommends that federal and state governments and private foundations fund research projects to explore ways in which managed care and integrated health care systems can be used to alleviate the geographic maldistribution of primary care clinicians. 6.4 State Practice Acts for Nurse Practitioners and Physician Assistants The committee recommends that state governments review current restrictions on the scope of practice of primary care nurse practitioners and
From page 406...
... 7.2 Common Core Competencies The committee recommends that common core competencies for primary care clinicians, regardless of their disciplinary base, be defined by a coalition of appropriate educational and professional organizations and accrediting bodies. 7.3 Emphasis on Common Core Competencies by Accrediting and Certifying Bodies The committee recommends that organizations that accredit primary care training programs and certify individual trainees support curricular reforms that teach the common core competencies and essential elements of primary care.
From page 407...
... 8.2 National Database and Primary Care Data Set The committee recommends that the Department of Health and Human Services support the development of and provide ongoing support for a national database (based on a sample survey) that reflects the majority of health care needs in the United States and includes a uniform primary care data set based on episodes of care.
From page 408...
... 9.1 Establishment of a Primary Care Consortium The committee recommends the formation of a public–private, nonprofit primary care consortium consisting of professional societies, private foundations, government agencies, health care organizations, and representatives of the public.


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