Wednesday, July 21, 2010

What Is Primary Care

According to the Institute of Medicine, the objective of primary care is to address the majority of personal health care needs and to develop a long-term partnership with patients. Primary care provides the first point of access and connects patients to the rest of the health care system.


Identification


Physicians who are recognized as primary care physicians include those who practice general internal medicine, general pediatrics, family practice and preventive medicine. Physicians who practice obstetrics and gynecology are also often classified as primary care practitioners.








Function


Primary care physicians are trained to diagnose early symptoms of diseases, counsel patients on screening and early prevention, and identify conditions that require medical intervention. In general, a primary care physician does not practice a specialty such as oncology, neurology or surgery.


History


Primary care started to gain prominence in the United States in the 1970s-1980s following the emergence of health maintenance organizations (HMOs). In general, patients enrolled in HMOs need permission from their primary care physicians to gain access to specialty services. However, recent restructuring of HMOs is expected to reduce the growth of primary care systems in the United States.


Size


In the United States, some estimates say there is about 1 primary care physician per 1,000 people. They are always in demand.


Expert Insight


One of the main reason for the decline in the number of primary care physicians is due to the widening gap between the salaries of specialists and the salaries of primary physicians. A surgeon can make double what a primary care physician makes.

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