| Titre : | The generalist role of specialty physicians : Is there a hidden system of primary care ? (1998) |
| Auteurs : | R.A. ROSENBLATT ; L.M. BALDWIN ; L. CHAN ; L.G. HART ; R. SCHNEEWEISS ; Department of Family Medicine. University of Washington School of Medicine. Seattle. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 279, n° 17, 1998) |
| Pagination : | 1364-1370 |
| Langues: | Anglais |
| Mots-clés : | Médecin généraliste ; Etats Unis ; Amérique du Nord ; Amérique ; Soins santé primaire ; Spécialité médicale ; Rôle du professionnel ; Etude comparée ; Grand âge ; Homme ; Medicare |
| Résumé : | [BDSP. Notice produite par INIST g3EpR0xG. Diffusion soumise à autorisation]. Context-Despite increased emphasise on primary care in the United States, most care continues to be provided by specialists. The extent to which specialists incorporate elements of primary care in their approach to ambulatory patients is unknown. Objectives. - To examine the extent to which selected medical and surgical subspecialties provide generalist care to Medicare patients, and to compare patterns of care between specialists and generalists. Design. - A cross-sectional study of all ambulatory care recorded in Part B of the Washington State Medicare Claims Database in 1994 and 1995. Setting. - Ambulatory practices in Washington State. Patients. - Medicate benefidaries 65 years or older who made office visits to the study physicians. Main Outcome Measures. - The extent to which individual specialties accounted for the majority of visits made by patients to physicians (a measure of continuity), provided care-outside the traditional domain of their specialty (a measure of comprehensiveness), and provided influenza immunization. Results. - A total of 373 505 patients constituted the sample. Patients had an average of 7.48 outpatient visits per year ; 9.6% saw only generalists, while 14.7% saw only specialists. The practices of general intemists and family physicians differ systematically from the practices of most specialists. Approximately half (49. (...) |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact