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- 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.2009.114
- pmid
- 19506176
- Publisher site
- See Article on Publisher Site
Abstract
SPECIAL ARTICLE HEALTH CARE REFORM Christopher B. Forrest, MD, PhD igh use of specialist physicians and specialized procedures coupled with low expo- sure to primary care are distinguishing traits of the US health care system. Although the tasks of the primary care medical home are well established, consensus on the H normative clinical roles of specialist physicians has not been achieved, which makes it unlikely that the specialist workforce is being used most effectively and efficiently. This article describes a typology of specialists’ clinical roles that is based on the conceptual basis for health care specialism and empirical evaluations of the specialty referral process. The report concludes with a discussion on the implications of the typology for improving the effectiveness and effi- ciency of the primary-specialty care interface. Arch Intern Med. 2009;169(11):1062-1068 Americans’ high use of specialist physi- tates linkages with relevant community re- 1 2 8-10 cians and specialized procedures are dis- sources. The benefits of these primary tinguishing characteristics of our health care tasks are well established empirically: care system, as is our low exposure to pri- better performance of the primary care mary care physicians (ie, family physi- medical home is strongly associated with cians, general
Journal
JAMA Internal Medicine – American Medical Association
Published: Jun 8, 2009