Defining Primary Care An Interim Report (1994) / Chapter Skim
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Part 1: Introduction
Part 1: Introduction
Pages 3-7
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From page 3... ...
Changes already occurnug in the private and public sectors, and the possibility that health care reforms will intensify this emphasis, make timely this study's intent to provide a comprehensive strategy for guiding the future of primary care. As a first step in the development of that strategy, the committee has developed a definition of primary care that is intended to be useful to health care professionals, health plan developers, policy makers, educators of health professionals, and the public as they confront the rapid changes in health care that are now under way and are likely to continue for the next 5-10 years.
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From page 4... ...
In the private sector, managed care plans that emphasize the role of the primary care clinician as the pathway to care are growing quite rapidly, encouraged by employers and state governments, which view them as a means of moderating cost increases. These changes come at a time of conflicting notions of how health care is and should be provided.
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From page 5... ...
It is desirable, however, to formulate a newerversion of the definition that recognizes two important trends: Me greater complexity of health care delivery and the greater interdependence of health professionals. In particular, these trends may be seen in the rapid growth of integrated delivery systems with enrolled populations and the use of teams for the delivery of primary care services.
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From page 6... ...
The committee hopes that the concepts embodied in its definition of primary care will give the term additional meaning in a contemporary context and will focus attention on issues that have real consequences for improved performance of the health care system. Critical Assumptions Given today's health care environment and the rationale for revisiting the earlier IOM definition, the committee has been guided by several assumptions that in its view are critical for the future of primary care in our health care system: Primary care will be the logical foundation of an effective health care system because primary care can address a large majority of the hearth problems present in the population.
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From page 7... ...
Part 3 gives the committee's new definition of primary care. The definition is provisional; the committee will revisit the definition in its final report based on reactions received and further committee deliberations.
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