The U.S. healthcare system has been plagued by rising costs while achieving relatively poor-quality outcomes, and the situation continues to worsen. One solution is the patient-centered medical home (PCMH) model of primary care. This model focuses on care coordination and development of long-term physician-patient relationships that are expected to lead to better quality care and higher rates o...

OBJECTIVE To show that the elderly at risk rating scale (EARRS) satisfies the requirements of an assessment tool for routine health checks in people over 75 and would also be suitable as a method of collecting epidemiological data on the needs of the elderly in a locality. DESIGN Development and validation of a questionnaire based on a modification of the Winchester rating scale, by a series ...

BACKGROUND Primary health care is considering the cornerstone of health care in Chile. Its efficiency is strongly influenced by the quality and competences of physicians that are responsible for health care at this level. AIM To define the features and competences that should have primary care physicians. MATERIAL AND METHODS A group of experts that could be physicians or other professional...

This article surveys major trends in the history of women physicians in American medicine during the 20th century, noting especially factors that have elicited renewed and increasingly public attention during the past two decades. These include the challenges of achieving greater professional visibility while also balancing family and career, of sustaining women physicians' legacy of commitment...

In 2011, a panel of primary healthcare (PHC) providers in Nova Scotia rated 19 of 35 selected Canadian Institute for Health Information (2006) clinical quality indicators (QIs) as "acceptable." In this study, the authors explored the feasibility of extracting electronic medical record (EMR) data required to create these PHC QI measures.

BACKGROUND Switzerland is facing an impending primary care workforce crisis since almost half of all primary care physicians are expected to retire in the next decade. Only a minority of medical students choose a primary care specialty, further deepening the workforce shortage. It is therefore essential to identify ways to promote the choice of a primary care career. The aim of the present stud...

This study seeks to help inform the further development of medical education and training for primary care in Germany. It explores approaches to medical education and training in a small number of high-income countries and how these seek to address shortages of doctors practising in primary or ambulatory care through reforming their education and training systems. It does so by means of an expl...

This article presents the data about the accessibility of primary health care in Siauliai region and about factors related to the patients' perceived access to primary care. The survey was carried out in June 2004, in the context of a joint project of Kaunas University of Medicine and NIVEL, the Netherlands Institute of Health services research. Patients, treated in private and public health ca...

In their article titled “Family Medicine: Preparing for a High-Performance Health Care System,” Karen Davis and Kristof Stremikis present an exciting and affirming vision for the future of primary care in this country. Thanks to the wide acceptance of the concept of themedical home among policymakers, health systems, and now some payers, primary care is finally on the map in a serious way. Alth...

a Department of Public Health and Primary Care, Leiden University Medical Center, the Netherlands b Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology, Uppsala University,Sweden c Spanish Primary Care Respiratory Group (GRAP), Spain. d Department of Public Health and General Practice, Norwegian University of Science and Technology, Norway e School of Popu...