0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Supplement: The Future of Primary Care |

Defining the Future of Primary Care: What Can We Learn from Patients?

Dana Gelb Safran, ScD
[+] Article and Author Information

From The Health Institute at Tufts-New England Medical Center and Tufts University, Boston, Massachusetts.


Acknowledgments: The author thanks Angela Li for dedicated assistance in the preparation of this article and Hong Chang, PhD, for analytic support.

Grant Support: The Massachusetts Study of Primary Care Performance and the Study of Choice and Quality in Senior Health Care was supported by grant R01 HS08841 from the Agency for Healthcare Research and Quality and grant 035321 from the Robert Wood Johnson Foundation. The Study of Choice and Quality in Senior Health Care was supported by grant R01 HS09622 from the Agency for Healthcare Research and Quality and the National Institute on Aging. A previous version of this article was commissioned by the Robert Wood Johnson Foundation for the Future of Primary Care Conference (held in Glen Cove, New York, October 2001).

Requests for Single Reprints: Dana Gelb Safran, ScD, Division of Clinical Care Research, The Health Institute, Tufts-New England Medical Center, 750 Washington Street, NEMC #345, Boston, MA 02111.


Ann Intern Med. 2003;138(3):248-255. doi:10.7326/0003-4819-138-3-200302040-00033
Text Size: A A A

From the earliest definitions of the term primary care to the most recent, all have stressed that primary care is predicated on a sustained relationship between patients and the clinicians who care for them (15). Most definitions have indicated that the primary care provider can be a single clinician or team and have not delineated particular clinical disciplines to which primary care belongs. Beyond the requirement for sustained clinician–patient relationships, primary care has been defined to encompass the following essential elements: accessibility, continuity, integration, a whole-person orientation, comprehensiveness, and clinical management (15). Drawing on information obtained from adults nationwide, I examine the status of primary care relationships in the United States, identify key strengths and limitations as experienced and reported by patients, and propose possible directions for improving performance and outcomes in primary care.

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Topic Collections
PubMed Articles

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)