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Letters |19 January 1999

Current Health Care Environment

Albert DiPiero, MD, MPH

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Author, Article, and Disclosure Information
  • Oregon Health Sciences University; Portland, OR 97201
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TO THE EDITOR:
I enjoyed reading Dr. Nolan's vigorous and enthusiastic vision of the internist needed for the modern health care structure in the United States (1). His article has done much to assuage my gnawing premonition of a new world of health care: a world where the “generic primary care physician” handles all outpatient care by quickly triaging patients to organ-based internal medicine subspecialists and admits all patients needing hospitalization to critical care specialists.
Dr. Nolan's discourse elucidates a powerful truth: At the end of the day, successful health care systems must provide high-quality care for sick patients. This will remain difficult to accomplish without an internal medicine generalist providing care in the ambulatory setting.
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DiPiero A. Current Health Care Environment. Ann Intern Med. 1999;130:164–165. doi: 10.7326/0003-4819-130-2-199901190-00024

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Published: Ann Intern Med. 1999;130(2):164-165.

DOI: 10.7326/0003-4819-130-2-199901190-00024

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