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Supplement: The Future of Primary Care |

Primary Care: The Next Renaissance

Jonathan Showstack, PhD, MPH; Nicole Lurie, MD, MSPH; Eric B. Larson, MD, MPH; Arlyss Anderson Rothman, PhD, MHS, FNP; and Susan Hassmiller, PhD, RN
[+] Article, Author, and Disclosure Information

From University of California, San Francisco, California; The RAND Corporation, Arlington, Virginia; University of Washington, Seattle, Washington; and the Robert Wood Johnson Foundation, Princeton, New Jersey.

Acknowledgments: The authors thank the participants at The Future of Primary Care meeting, Glen Cove, New York, October 2001, who helped form and focus some of the ideas presented in this paper.

Note: The opinions and suggestions presented are those of the authors and may not necessarily represent those of other participants, the authors' own institutions, or the Robert Wood Johnson Foundation.

Grant Support: By grant 039940 from the Robert Wood Johnson Foundation.

Corresponding Author: Jonathan Showstack, PhD, MPH, University of California, San Francisco, 3333 California Street, Suite 265, San Francisco, CA 94118-1944.

Current Author Addresses: Drs. Showstack and Anderson Rothman: University of California, San Francisco, 3333 California Street, Suite 265, San Francisco, CA 94118-1944.

Dr. Lurie: The RAND Corporation, 1200 South Hayes Street, Arlington, VA 22202.

Dr. Larson: University of Washington Medical Center, 1959 North East Pacific Street, Box 356330, Seattle, WA 98195.

Dr. Hassmiller: The Robert Wood Johnson Foundation, Route 1 and College Road East, Princeton, NJ 08543-2316.

Ann Intern Med. 2003;138(3):268-272. doi:10.7326/0003-4819-138-3-200302040-00036
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Three decades ago, a renaissance in primary care helped create the foundations of the field as we know it today. While primary care has developed as a vital intellectual and applied concept, the changes that had been hoped for in the medical care system to support the goals of comprehensive, continuous, patient-centered, and outcomes-oriented care have not occurred. In fact, the dominance of specialty care is increasing, interest in primary care as a career has waned; and changes in reimbursement and health care organization, such as the advent of managed care, have been relatively negative for primary care. We believe passionately in the basic principles of primary care and are deeply concerned about its future.

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