This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (2)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Topic Collections  • Medical Practice  • Health Policy  • Medical Practice, Other  • Patient-Physician Relationship/ Care  • Patient-Physician Relationship, Other  • Primary Care/ Family Medicine  • Alert me on articles by topic  Social Bookmarking   What's this?

Richard J. Baron, MD

JAMA. 2009;301(18):1922-1924.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Reuben put it well: "Primary care is on death row."¹ A total of 21% of general internists are leaving that practice sometime in the first 10 years after completing training,² and only 6.7% of all 2007 US medical school graduates are choosing family medicine or ambulatory internal medicine.³ The net loss is worrisome because robust primary care seems to be an important component of high-performing health systems.⁴ Enhancing primary care through such models as the patient-centered medical home has been proposed as an important if incomplete part of US health system redesign.⁵ Explanations offered in both professional⁶ and popular⁷ media for the disappearance of primary care physicians have focused on salary or income differentials between primary care physicians and their specialty colleagues, differentials that in some markets have reached a factor of 3. While higher primary care incomes would be helpful, at least as large a . . . [Full Text of this Article]

The Mental Model

Author Affiliation: Greenhouse Internists, Philadelphia, Pennsylvania.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Commitment to Care for the Community
DeAngelis
JAMA 2009;301:1929-1930.
FULL TEXT