Primary Care America's Health in a New Era (1996) / Chapter Skim
Currently Skimming:
Summary
Summary
Pages 1-12
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 1... ...
guided its deliberations and its consideration of the conclusions and recommendations offered in the main part of this report (see Box S-1~. Specifically, the report · gives a clear definition of the function of primary care that can guide public and private actions to improve health care; · encourages certain organizational arrangements for health care, built on a foundation of strong primary care, that will facilitate the coordination of the full array of services that are essential for maintaining and improving the health status of patients; · argues for development and dissemination of improved information systems and quality assurance programs for primary care; · advocates development and sustained support of means to make primary care available to all Americans, regardless of economic status, geographic location, or language and cultural differences; 1
|
From page 2... ...
The critical elements include · integrated and accessible health care services; · services provided by primary care clinicians generally considered to be physicians, nurse practitioners, and physician assistants but involving a broader array of individuals in a primary care team; · accountability of clinicians and systems for quality of care, patient satisfaction, efficient use of resources, and ethical behavior;
|
From page 3... ...
The second way to approach the question of the value of primary care is by recourse to empirical evidence. The committee amasses considerable evidence that primary care improves the quality and efficiency of care and expands access to appropriate services; it also forms an important bridge between personal health care and public health, to the advantage of both.
|
From page 4... ...
health care scene that will influence the extent to which primary care evolves in this country are myriad: the spread of managed care, the expansion of integrated health care delivery systems, the consolidation of health plans and systems, growth in for-profit ownership of health plans and integrated delivery systems, the diversity among and within health care markets, the special challenges of primary care in rural areas and for the urban poor, the need for primary care to coordinate with other types of services, current and evolving roles for health care professionals, and the role of academic health centers in primary care delivery. Key aspects of these trends and themes are explored in Chapter 5.
|
From page 5... ...
Chapter 7 explores the changes likely to be required in undergraduate and graduate training, argues that clinical training ought to involve multidisciplinary team practice, and examines issues of retraining physicians for primary care. The committee used the broad scope of primary care to suggest that all trainees should be equipped to practice competently in the following areas: periodic assessment of asymptomatic persons; screening and early disease detection; evaluation and management of acute illness; assessment and either management or referral of patients with more complex problems that call for the diagnostic and therapeutic tools of medical specialists and other professionals; ongoing management of patients with established chronic diseases; coordination of care among specialists; and provision of acute hospital and long-term care.
|
From page 6... ...
Other subjects involve major elements of the committee's conceptualization of primary care, such as the large majority of personal health care needs, the sustained partnership between clinicians and patients, accountability, and practicing in a family and community context. A STRATEGY FOR IMPLEMENTATION The recommendations described so far are regarded by the committee as essential steps toward strengthening primary care as the firm foundation for health care in this country, but only effective implementation will permit the nation to realize their benefits.
|
From page 7... ...
Its broad functions would be (among other things) to · coordinate efforts to promote and enhance primary care; · conduct research and development projects, provide technical assistance, and disseminate information on issues such as primary care infrastructure, innovative models of primary care, and methods to monitor primary care performance; and · organize national meetings through which interested parties can report on progress in implementing the primary care agenda.
|
From page 8... ...
............................................................................................................................. ~ accessed ~ en Lea.,- ~ 1~ care services .,3.y~ c- -~-n-lcians~ w no a.,-,r.
|
From page 9... ...
~ cept prima~ care as one ot their core missions and provide leadership ln the ......................
|
From page 11... ...
SUMMARY 11 ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 7.6 S I -Grad t M d I~t ~ ~ @ Sit ......................................
|
From page 12... ...
2 PRIMARY CARE: AMERICA 'S HEALTH IN A NEW ERA ~ - - v ~ ·- - I-—1 vie - I- - I I- 1 - -I - - - 1 ~ w-l 1~.
|
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.