What is primary care anyway?

نویسنده

  • M A Scheinberg
چکیده

Primary care is a favourite within certain circles in today's practice of medicine. In particular Health Maintenance Organizations (HMOs) look at it as one of the major strengths against the growth of technology driven increase in medicaI care. It is aIso seen at certain political leveIs as one way to provide medicaI care to everyone in the community irrespective of income or social leveI. My personal view is that the promotion of primary care by politicians should be met with ambivalence, since they would like to explore this avenue as a soIution to health care problems. I believe also that primary care as amedicaI discipline must exert control over its own future and mistakes. What is primary care anyway? My understanding is that effective primary care refers to the extent to which the needs of the population are mel. One can see variations from certain norms in clinicaI procedures but never should intervention be encouraged with the aim of satisfying patients demands rather than the real needs. The main thrust is that primary care must be directed at the .needs rather than the demands of the patients. It is aIso my understanding that the current leveI of training of primary

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Shanghai’s Track Record in Population Health Status: What Can Explain It?; Comment on “Shanghai Rising: Health Improvements as Measured by Avoidable Mortality Since 2000”

Health reforms that emphasize public health and improvements in primary care can be cost-effective measures to achieve health improvements, especially in developing countries that face severe resource constraints. In their paper “Shanghai rising: health improvements as measured by avoidable mortality since 2000,” Gusmano et al suggest that Shanghai’s health policy-makers have been successful in...

متن کامل

Meeting the Challenge of Diabetes in China

China’s estimated 114 million people with diabetes pose a massive challenge for China’s health policy-makers who have significantly extended health insurance coverage over the past decade. What China is doing now, what it has achieved, and what remains to be done should be of interest to health policy-makers, worldwide. We identify the challenges posed by China’s two pr...

متن کامل

Achieving Integrated Care for Older People: What Kind of Ship?; Comment on “Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight for the Future?”

This paper considers an implication of the idea that proposals for integrated care for older people should start from a focus on the patient, consider co-production solutions to the problems of care fragmentation, and be at a system-wide, cross-organisational level. It follows that the analysis, design and therefore evaluation of integrated care projects should be based upon the journeys which ...

متن کامل

The big wheel keeps on turning.

The wheels on the bus go round and round, round and round, round and round, all day long. Those of you who have children know this song. It's great. At least, it is for the first 10 times of listening. In the same way, some have welcomed reorganisations of the National Health Service (NHS) as the way forward – but again, and again, and again, year in, year out? My first experience of primary ca...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Sao Paulo medical journal = Revista paulista de medicina

دوره 115 3  شماره 

صفحات  -

تاریخ انتشار 1997