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Ralph B. Freidin, MD; Alan M. Lazerson, MD

JAMA. 1979;241(8):819-822.

Abstract
Primary care and family practice training programs stress the importance of establishing and maintaining the physician-patient relationship in providing longitudinal health care. However, the limited duration of these three-year programs builds discontinuity into the relationship. To our knowledge, the process of terminating the physician-patient relationship in primary care practice has not been addressed in the medical literature. We studied eight different patterns of patients' responses to learning of the departure of their primary care physicians. We have developed a set of guidelines for terminating the physician-patient relationship in an ambulatory, primary care setting.

(JAMA 241:819-822, 1979)

Author Affiliations
From the Division of General Medicine and Primary Care, Peter Bent Brigham Hospital (Dr Freidin), Harvard Medical School (Dr Freidin), and Division of Psychiatry, Boston University School of Medicine (Dr Lazerson), Boston.

Footnotes
Reprint requests to Division of General Medicine and Primary Care, Peter Bent Brigham Hospital, 721 Huntington Ave, Boston, MA 02215 (Dr Freidin).

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