Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Improving the Primary Care–Specialty Care Interface

Improving the Primary Care–Specialty Care Interface EDITORIAL Getting From Here to There S JONES PRESENTS TO HER PRIMARY CARE ATTENTION TO THE physician (PCP), Dr Sanchez, with MEDICAL NEIGHBORHOOD symptoms of persistent diarrhea. Using prereferral guidelines posted on The ability to implement the proposed typology de- M his practice’s electronic referral sys- pends on patients having a medical home, or at least a tem, he rules out Clostridium difficile, other bacterial and PCP. This has not been true for many Americans. Of Medi- parasitic infections, and celiac disease. He refers her to a care beneficiaries, only about 14% see a specialist for care gastroenterologist, Dr Lee, for further evaluation and pos- during a 1-year period. Indeed, access to specialty care sible colonoscopy. When Ms Jones arrives, Dr Lee re- has been considered a patient right and, more recently, views the electronic referral, which includes Dr Sanchez’s an issue of consumer choice, with patients purchasing contact information and consultative question along with health insurance coverage that allows more direct access the patient’s relevant history and laboratory results. Af- to specialists. Nonetheless, there is a movement afoot ter assessing Ms Jones, Dr Lee discusses the risks and ben- to give the medical home a central role in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Improving the Primary Care–Specialty Care Interface

JAMA Internal Medicine , Volume 169 (11) – Jun 8, 2009

Loading next page...
 
/lp/american-medical-association/improving-the-primary-care-specialty-care-interface-i5FTttXdjF

References (15)

Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2009.140
pmid
19506170
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL Getting From Here to There S JONES PRESENTS TO HER PRIMARY CARE ATTENTION TO THE physician (PCP), Dr Sanchez, with MEDICAL NEIGHBORHOOD symptoms of persistent diarrhea. Using prereferral guidelines posted on The ability to implement the proposed typology de- M his practice’s electronic referral sys- pends on patients having a medical home, or at least a tem, he rules out Clostridium difficile, other bacterial and PCP. This has not been true for many Americans. Of Medi- parasitic infections, and celiac disease. He refers her to a care beneficiaries, only about 14% see a specialist for care gastroenterologist, Dr Lee, for further evaluation and pos- during a 1-year period. Indeed, access to specialty care sible colonoscopy. When Ms Jones arrives, Dr Lee re- has been considered a patient right and, more recently, views the electronic referral, which includes Dr Sanchez’s an issue of consumer choice, with patients purchasing contact information and consultative question along with health insurance coverage that allows more direct access the patient’s relevant history and laboratory results. Af- to specialists. Nonetheless, there is a movement afoot ter assessing Ms Jones, Dr Lee discusses the risks and ben- to give the medical home a central role in

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jun 8, 2009

There are no references for this article.