Please note: In order to keep Hive up to date and provide users with the best features, we are no longer able to fully support Internet Explorer. The site is still available to you, however some sections of the site may appear broken. We would encourage you to move to a more modern browser like Firefox, Edge or Chrome in order to experience the site fully.

Family-Oriented Primary Care, PDF eBook

Family-Oriented Primary Care PDF

PDF

Please note: eBooks can only be purchased with a UK issued credit card and all our eBooks (ePub and PDF) are DRM protected.

Description

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.

Information

Other Formats

Information