메뉴 건너뛰기




Volumn 279, Issue 17, 1998, Pages 1364-1370

The generalist role of specialty physicians: Is there a hidden system of primary care?

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; ARTICLE; GENERAL PRACTITIONER; HUMAN; INFLUENZA VACCINATION; MAJOR CLINICAL STUDY; MEDICAL SPECIALIST; OUTPATIENT CARE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; UNITED STATES;

EID: 0032490135     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.279.17.1364     Document Type: Article
Times cited : (160)

References (41)
  • 1
    • 0026487996 scopus 로고
    • The case of the disappearing generalist: Does it need to be solved?
    • Moore GT. The case of the disappearing generalist: does it need to be solved? Milbank Q. 1992;70: 361-379.
    • (1992) Milbank Q. , vol.70 , pp. 361-379
    • Moore, G.T.1
  • 2
    • 0027420171 scopus 로고
    • Training an appropriate mix of physicians to meet the nation's needs
    • Schroeder SA. Training an appropriate mix of physicians to meet the nation's needs. Acad Med. 1993;68:118-122.
    • (1993) Acad Med. , vol.68 , pp. 118-122
    • Schroeder, S.A.1
  • 4
    • 0027474645 scopus 로고
    • Specialty distribution of US physicians - The invisible driver of health care costs
    • Schroeder SA, Sandy LG. Specialty distribution of US physicians - the invisible driver of health care costs. N Engl J Med. 1993;328:961-963.
    • (1993) N Engl J Med. , vol.328 , pp. 961-963
    • Schroeder, S.A.1    Sandy, L.G.2
  • 6
    • 0027320034 scopus 로고
    • The elusive generalist physician: Can we reach a 50% goal?
    • Kindig DA, Cultice JM, Mullan F. The elusive generalist physician: can we reach a 50% goal? JAMA. 1993;270:1069-1073.
    • (1993) JAMA , vol.270 , pp. 1069-1073
    • Kindig, D.A.1    Cultice, J.M.2    Mullan, F.3
  • 8
    • 0027459555 scopus 로고
    • Are generalists the answer for primary care?
    • Meltzer D. Are generalists the answer for primary care? JAMA. 1993;269:1711-1714.
    • (1993) JAMA , vol.269 , pp. 1711-1714
    • Meltzer, D.1
  • 9
    • 0019835929 scopus 로고
    • Who should give primary care? The continuing debate
    • Rogers DE. Who should give primary care? the continuing debate. N Engl J Med. 1981;305:577-578.
    • (1981) N Engl J Med. , vol.305 , pp. 577-578
    • Rogers, D.E.1
  • 10
    • 0019025885 scopus 로고
    • The Institute of Medicine report, "A Manpower Policy for Primary Health Care": A commentary from the American College of Physicians
    • Peterson ML. The Institute of Medicine report, "A Manpower Policy for Primary Health Care": a commentary from the American College of Physicians. Ann Intern Med. 1980;92:843-851.
    • (1980) Ann Intern Med. , vol.92 , pp. 843-851
    • Peterson, M.L.1
  • 12
    • 0018965488 scopus 로고
    • Primary and consultant care: Can they be distinguished?
    • Barr DM.Primary and consultant care: can they be distinguished? JAWA. 1980;243:2510-2512.
    • (1980) JAWA , vol.243 , pp. 2510-2512
    • Barr, D.M.1
  • 13
    • 0029954848 scopus 로고    scopus 로고
    • The effect of first-contact care with primary care clinicians on ambulatory health care expenditures
    • Forrest CB, Starfield B. The effect of first-contact care with primary care clinicians on ambulatory health care expenditures. J Fam Pract. 1996;43:40-48.
    • (1996) J Fam Pract. , vol.43 , pp. 40-48
    • Forrest, C.B.1    Starfield, B.2
  • 14
    • 0026643134 scopus 로고
    • Gatekeeping revisited - Protecting patients from overtreatment
    • Franks P, Clancy CM, Nutting PA. Gatekeeping revisited - protecting patients from overtreatment. N Engl J Med. 1992;327:424-429.
    • (1992) N Engl J Med. , vol.327 , pp. 424-429
    • Franks, P.1    Clancy, C.M.2    Nutting, P.A.3
  • 15
    • 2642627481 scopus 로고    scopus 로고
    • Quality of primary care practice in a large H MO according to physician specialty and physician sex
    • In press
    • Grumbach K, Selby JV, Schmittdiel J, Quesenberry CP Jr. Quality of primary care practice in a large H MO according to physician specialty and physician sex. N Engl J Med. In press.
    • N Engl J Med.
    • Grumbach, K.1    Selby, J.V.2    Schmittdiel, J.3    Quesenberry Jr., C.P.4
  • 16
    • 0028359244 scopus 로고
    • Primary care performance in fee-for-service and prepaid health care systems: Results from the Medical Outcomes Study
    • Safran DG, Tarlov AR, Rogers WH. Primary care performance in fee-for-service and prepaid health care systems: results from the Medical Outcomes Study. JAMA. 1994;271:1579-1586.
    • (1994) JAMA , vol.271 , pp. 1579-1586
    • Safran, D.G.1    Tarlov, A.R.2    Rogers, W.H.3
  • 17
    • 0026596455 scopus 로고
    • Differences in the mix of patients among medical specialties and systems of care: Results from the Medical Outcomes Study
    • Kravitz RL, Greenfield S, Rogers W, et al. Differences in the mix of patients among medical specialties and systems of care: results from the Medical Outcomes Study. JAMA. 1992;267:1617-1623.
    • (1992) JAMA , vol.267 , pp. 1617-1623
    • Kravitz, R.L.1    Greenfield, S.2    Rogers, W.3
  • 18
    • 0028470301 scopus 로고
    • Costing medical care: Using Medicare administrative data
    • Lave JR, Pashos CL, Anderson GF, et al. Costing medical care: using Medicare administrative data. Med Care. 1994;32:JS77-JS89.
    • (1994) Med Care , vol.32
    • Lave, J.R.1    Pashos, C.L.2    Anderson, G.F.3
  • 19
    • 0029441238 scopus 로고
    • Developing a quality improvement database using health insurance data: A guided tour with application to Medicare's National Claims History File
    • Parente ST, Weiner JP, Garnick DW, et al. Developing a quality improvement database using health insurance data: a guided tour with application to Medicare's National Claims History File. Am J Med Qual. 1995;10:162-176.
    • (1995) Am J Med Qual. , vol.10 , pp. 162-176
    • Parente, S.T.1    Weiner, J.P.2    Garnick, D.W.3
  • 21
    • 0004144573 scopus 로고
    • Washington, DC: National Academy of Sciences
    • Institute of Medicine. A Manpower Policy for Primary Health, Care. Washington, DC: National Academy of Sciences; 1978.
    • (1978) A Manpower Policy for Primary Health, Care
  • 22
    • 0030471931 scopus 로고    scopus 로고
    • Faithful patients: The effect of long-term physician-patient relationships on the costs and use of health care by older Americans
    • Weiss LJ, Blustein J. Faithful patients: the effect of long-term physician-patient relationships on the costs and use of health care by older Americans. Am J Public Health. 1996;86:1742-1747.
    • (1996) Am J Public Health , vol.86 , pp. 1742-1747
    • Weiss, L.J.1    Blustein, J.2
  • 23
    • 0022005519 scopus 로고
    • The continuity of care provided to primary care patients: A comparison of family physicians, general internists, and medical subspecialists
    • Goldberg HI, Dietrich AJ. The continuity of care provided to primary care patients: a comparison of family physicians, general internists, and medical subspecialists. Med Care. 1985;23:63-73.
    • (1985) Med Care , vol.23 , pp. 63-73
    • Goldberg, H.I.1    Dietrich, A.J.2
  • 24
    • 84944364412 scopus 로고
    • Continuity of outpatient medical care in elderly men: A randomized trial
    • Wasson JH, Sauvigne AE, Mogielnicki RP, et al. Continuity of outpatient medical care in elderly men: a randomized trial. JAMA. 1984;252:2413-2417.
    • (1984) JAMA , vol.252 , pp. 2413-2417
    • Wasson, J.H.1    Sauvigne, A.E.2    Mogielnicki, R.P.3
  • 26
    • 0020216263 scopus 로고
    • Does continuous care from a physician make a difference?
    • Dietrich AJ, Marton KI. Does continuous care from a physician make a difference? J Fam Pract. 1982;15:929-937.
    • (1982) J Fam Pract. , vol.15 , pp. 929-937
    • Dietrich, A.J.1    Marton, K.I.2
  • 27
    • 0018701707 scopus 로고
    • A national study of internal medicine and its specialties, II: Primary care in internal medicine
    • Mendenhall RC, Tarlov AR, Girard RA, Michel JK, Radecki SE. A national study of internal medicine and its specialties, II: primary care in internal medicine. Ann Intern Med. 1979;91:275-287.
    • (1979) Ann Intern Med. , vol.91 , pp. 275-287
    • Mendenhall, R.C.1    Tarlov, A.R.2    Girard, R.A.3    Michel, J.K.4    Radecki, S.E.5
  • 28
    • 0020564268 scopus 로고
    • The content of ambulatory medical care in the United States: An interspecialty comparison
    • Rosenblatt RA, Cherkin DC, Schneeweiss R, Hart LG. The content of ambulatory medical care in the United States: an interspecialty comparison. N Engl J Med. 1983;309:892-897.
    • (1983) N Engl J Med. , vol.309 , pp. 892-897
    • Rosenblatt, R.A.1    Cherkin, D.C.2    Schneeweiss, R.3    Hart, L.G.4
  • 29
  • 30
    • 0029282670 scopus 로고
    • Medicare reimbursement for preventive care: Changes in performance of services, quality of life, and health care costs
    • Morrissey JP, Harris RP, Kincade-Norburn J, et al. Medicare reimbursement for preventive care: changes in performance of services, quality of life, and health care costs. Med Care. 1995;33:315-331.
    • (1995) Med Care , vol.33 , pp. 315-331
    • Morrissey, J.P.1    Harris, R.P.2    Kincade-Norburn, J.3
  • 31
    • 0028321746 scopus 로고
    • Impact of Medicare reimbursement on influenza vaccination rates in the elderly
    • Ives DG, Lave JR, Traven ND, Kuller LH. Impact of Medicare reimbursement on influenza vaccination rates in the elderly. Prev Med. 1994;23:134-141.
    • (1994) Prev Med. , vol.23 , pp. 134-141
    • Ives, D.G.1    Lave, J.R.2    Traven, N.D.3    Kuller, L.H.4
  • 32
    • 0021367512 scopus 로고
    • Preventive content of adult primary care: Do generalists and subspecialists differ?
    • Dietrich AJ, Goldberg H. Preventive content of adult primary care: do generalists and subspecialists differ? Am J Public Health. 1984;74:223-227.
    • (1984) Am J Public Health. , vol.74 , pp. 223-227
    • Dietrich, A.J.1    Goldberg, H.2
  • 33
    • 0026069310 scopus 로고
    • Subspecialists and internal medicine: A perspective
    • Braunwald E. Subspecialists and internal medicine: a perspective. Ann Intern Med. 1991;114:76-78.
    • (1991) Ann Intern Med. , vol.114 , pp. 76-78
    • Braunwald, E.1
  • 34
  • 36
    • 2642655077 scopus 로고
    • Chicago, Ill: Accreditation Council for Graduate Medical Education
    • Accreditation Council for Graduate Medical Education. Essentials and Information Items, 1993-1994. Chicago, Ill: Accreditation Council for Graduate Medical Education; 1993.
    • (1993) Essentials and Information Items, 1993-1994
  • 37
    • 0029006369 scopus 로고
    • Medicare at 30: Preparing for the future
    • Vladeck BC, King KM. Medicare at 30: preparing for the future. JAMA. 1995;274:259-262.
    • (1995) JAMA , vol.274 , pp. 259-262
    • Vladeck, B.C.1    King, K.M.2
  • 38
    • 0027302437 scopus 로고
    • Solving our primary care crisis by retraining specialists to gain specific primary care competencies
    • Lundberg GD, Lamm RD. Solving our primary care crisis by retraining specialists to gain specific primary care competencies. JAMA. 1993;270:380-381.
    • (1993) JAMA , vol.270 , pp. 380-381
    • Lundberg, G.D.1    Lamm, R.D.2
  • 39
    • 0021950481 scopus 로고
    • The internist as gatekeeper: Preparing the general internist for a new role
    • Eisenberg JM. The internist as gatekeeper: preparing the general internist for a new role. Ann Intern Med. 1985;102:537-543.
    • (1985) Ann Intern Med. , vol.102 , pp. 537-543
    • Eisenberg, J.M.1
  • 40
    • 0019378189 scopus 로고
    • Domain of practice and the quality of physician performance
    • Rhee S-O, Luke RD, Lyons TF, Payne, Beverly C. Domain of practice and the quality of physician performance. Med Care. 1981;19:14-23.
    • (1981) Med Care , vol.19 , pp. 14-23
    • Rhee, S.-O.1    Luke, R.D.2    Lyons, T.F.3    Payne4    Beverly, C.5
  • 41
    • 0021164937 scopus 로고
    • Relationships of physician characteristics to performance quality and improvement
    • Payne BC, Lyons TF, Neuhaus E. Relationships of physician characteristics to performance quality and improvement. Health Serv Res. 1984;19:307-332.
    • (1984) Health Serv Res. , vol.19 , pp. 307-332
    • Payne, B.C.1    Lyons, T.F.2    Neuhaus, E.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.