Primary care: Difference between revisions
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Continuity of care is also important for after hospitalizations and emergency department visits (see [[hospital readmission]]). Follow-up visits after emergency department visits may also be important<ref name="pmid33034640">{{cite journal| author=Lin MP, Burke RC, Orav EJ, Friend TH, Burke LG| title=Ambulatory Follow-up and Outcomes Among Medicare Beneficiaries After Emergency Department Discharge. | journal=JAMA Netw Open | year= 2020 | volume= 3 | issue= 10 | pages= e2019878 | pmid=33034640 | doi=10.1001/jamanetworkopen.2020.19878 | pmc=7547366 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33034640 }} </ref>. | Continuity of care is also important for after hospitalizations and emergency department visits (see [[hospital readmission]]). Follow-up visits after emergency department visits may also be important<ref name="pmid33034640">{{cite journal| author=Lin MP, Burke RC, Orav EJ, Friend TH, Burke LG| title=Ambulatory Follow-up and Outcomes Among Medicare Beneficiaries After Emergency Department Discharge. | journal=JAMA Netw Open | year= 2020 | volume= 3 | issue= 10 | pages= e2019878 | pmid=33034640 | doi=10.1001/jamanetworkopen.2020.19878 | pmc=7547366 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33034640 }} </ref>. | ||
==Consoliding and integrating small practices to larger systems== | |||
Primary card practices are shifting to being part of larger systems<ref name="pmid33284522">{{cite journal| author=Machta RM, D Reschovsky J, Jones DJ, Kimmey L, Furukawa MF, Rich EC| title=Health system integration with physician specialties varies across markets and system types. | journal=Health Serv Res | year= 2020 | volume= 55 Suppl 3 | issue= | pages= 1062-1072 | pmid=33284522 | doi=10.1111/1475-6773.13584 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33284522 }} </ref><ref name="pmid32744941">{{cite journal| author=Furukawa MF, Kimmey L, Jones DJ, Machta RM, Guo J, Rich EC| title=Consolidation Of Providers Into Health Systems Increased Substantially, 2016-18. | journal=Health Aff (Millwood) | year= 2020 | volume= 39 | issue= 8 | pages= 1321-1325 | pmid=32744941 | doi=10.1377/hlthaff.2020.00017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32744941 }} </ref>. | |||
== See also == | == See also == |
Revision as of 23:26, 11 December 2020
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Primary care is a term used for the activity of a health care provider who acts as a first point of consultation for all patients. Generally, primary care physicians, nurse practitioners and physician assistants are based in the community, as opposed to the hospital. Alternative names for the field are "general practice" and "family medicine", although the terms are not synonymous.
General practitioners in the United Kingdom are physicians who have completed four to five years of post-medical school training including three to four years based in hospitals and one year attached to a training general practitioner in the community.
Primary care physicians usually include family practice, internal medicine, pediatrics, and at times OB/GYN physicians. It is important to note, however, that the last three of the above specialties are not technically general medicine specialties. These specialties are primary care, but NOT general medicine.
Continuity of care
The importance of continuity of care has been studied in a systematic review[1].
Continuity of care is also important for after hospitalizations and emergency department visits (see hospital readmission). Follow-up visits after emergency department visits may also be important[2].
Consoliding and integrating small practices to larger systems
Primary card practices are shifting to being part of larger systems[3][4].
See also
- Secondary care
- Tertiary care
- Quaternary care
- World Organization of Family Doctors (Wonca)
- International Classification of Primary Care (ICPC)
- Health care systems
External links
- Defining Primary Care from Institute of Medicine IOM - Primary Care: America's Health in a New Era (1996)
- Primary Care Definitions from American Academy of Family Physicians AAFP
- Definition of Primary Care from American Medical Association AMA
- Defining primary health care Department of Health United Kingdom UK
- What is primary health care? Aboriginal Medical Services Alliance Northern Territory (AMSANT) Australia
References
- ↑ Baker R, Freeman GK, Haggerty JL, Bankart MJ, Nockels KH (2020). "Primary medical care continuity and patient mortality: a systematic review". Br J Gen Pract. 70 (698): e600–e611. doi:10.3399/bjgp20X712289. PMC 7425204 Check
|pmc=
value (help). PMID 32784220 Check|pmid=
value (help). - ↑ Lin MP, Burke RC, Orav EJ, Friend TH, Burke LG (2020). "Ambulatory Follow-up and Outcomes Among Medicare Beneficiaries After Emergency Department Discharge". JAMA Netw Open. 3 (10): e2019878. doi:10.1001/jamanetworkopen.2020.19878. PMC 7547366 Check
|pmc=
value (help). PMID 33034640 Check|pmid=
value (help). - ↑ Machta RM, D Reschovsky J, Jones DJ, Kimmey L, Furukawa MF, Rich EC (2020). "Health system integration with physician specialties varies across markets and system types". Health Serv Res. 55 Suppl 3: 1062–1072. doi:10.1111/1475-6773.13584. PMID 33284522 Check
|pmid=
value (help). - ↑ Furukawa MF, Kimmey L, Jones DJ, Machta RM, Guo J, Rich EC (2020). "Consolidation Of Providers Into Health Systems Increased Substantially, 2016-18". Health Aff (Millwood). 39 (8): 1321–1325. doi:10.1377/hlthaff.2020.00017. PMID 32744941 Check
|pmid=
value (help).