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Primary Care and the Specialist
Neal A. Vanselow, MD
JAMA. 1998;279:1394-1395.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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For more than 30 years, there has been concern about inadequate primary care capacity in the US health care delivery system.1-3 Several governmental and private sector reports have noted that the generalist physician to population ratio in the United States falls below that of most industrialized countries, and that, as contrasted with Canada and the United Kingdom, where generalists constitute approximately half of the physician workforce, only about one third of US physicians fall into this category.4-5 These concerns have been heightened by the growth of managed care, which emphasizes the role of the generalist, and have led to recommendations that 50% of all US physicians and residency positions should be in the primary care disciplines.2-3
In a system as complex as ours, however, it would be a mistake to simply equate primary care capacity with the number of generalist physicians. As contrasted with Canada and . . . [Full Text of this Article]
From the Department of Health Systems Management, Tulane University Medical Center, New Orleans, La.
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