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Family-Oriented Primary Care

  • Susan H. McDaniel
  • Jeri Hepworth
  • Thomas L. Campbell
  • Alan Lorenz

Table of contents

  1. Front Matter
    Pages i-xix
  2. Kathleen Cole-Kelly, David B. Seaburn
    Pages 43-53
  3. Back Matter
    Pages 465-477

About this book

Introduction

I was a Medical Student in 1966 when the Millis Report on the training of the generalist physician was published,de?ning the concept of primary care. According to the Report, the primary provider has four major responsib- ities or roles. The ?rst role is that of initial contact care of the undiffer- tiated patient. The second is to provide comprehensive care based on the belief that the primary provider should be able to manage the overwhe- ing majority of problems with which patients present. Equally important is the third role—continuity and coordination of care within the health care system. Finally,the primary provider is responsible for demonstrating le- ership in the community. This Report’s description of a primary provider seems as relevant today as it was when it was written. In 1994,the Institute of Medicine’s assessment of primary care added the responsibility of family and community integration of care to the Millis Report description. Without question there are many challenges to a contemporary imp- mentation of this comprehensive description of primary care, beginning with the level of individual patients who so often suffer from complex pr- lems, such as mental disorders and obesity. Treating these conditions in a brief primary care visit is dif?cult. At the level of the larger system, re- bursement is often inadequate and can represent policies that are uns- portive of primary care, such as those that compromise payment for preventive services that help patients to quit smoking or lose weight.

Keywords

Allgemeinmedizin Arzt-Patient-Beziehung assessment gender general medicine health care hospital

Authors and affiliations

  • Susan H. McDaniel
    • 1
    • 2
    • 3
  • Jeri Hepworth
    • 4
    • 5
  • Thomas L. Campbell
    • 6
    • 7
  • Alan Lorenz
    • 6
  1. 1.Psychiatry and Family MedicineUniversity of Rochester School of Medicine and DentistryRochesterUSA
  2. 2.Department of Family MedicineUniversity of Rochester School of Medicine and DentistryRochesterUSA
  3. 3.Wynne Center for Family ResearchUniversity of Rochester School of Medicine and DentistryRochesterUSA
  4. 4.Family MedicineUniversity of Connecticut School of MedicineHartfordUSA
  5. 5.Saint Francis Hospital and Medical CenterHartfordUSA
  6. 6.Family Medicine and PsychiatryUniversity of Rochester School of Medicine and DentistryRochesterUSA
  7. 7.Department of Family MedicineUniversity of Rochester School of Medicine and DentistryRochesterUSA

Bibliographic information

  • DOI https://doi.org/10.1007/b137394
  • Copyright Information Springer Science+Business Media, Inc. 2005
  • Publisher Name Springer, New York, NY
  • eBook Packages Medicine
  • Print ISBN 978-0-387-98614-2
  • Online ISBN 978-0-387-26310-6
  • Buy this book on publisher's site