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Previous Volume 328:940-945 April 1, 1993 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The United States is in the process of rediscovering primary care. Primary care is being promoted as an antidote to excessive health care costs and inadequate access to health services. However, primary care physicians in the United States are perceived to be in short supply, and their number is dwindling^1,2. Only one third of the active physicians in the United States are family physicians, general internists, or general pediatricians, as compared with more than half of those in Canada and Western Europe³.

The crisis in American health care has led to interest in other national health systems, with . . . [Full Text of this Article]

System

Structure

Reimbursement

Services

Who?

What?

Where and When?

How?

Why?

Discussion

Source Information

From the Department of Family and Community Medicine and the Institute for Health Policy Studies, University of California, San Francisco, San Francisco (K.G.), and Beckenham, United Kingdom (J.F.).

Address reprint requests to Dr. Grumbach at the Institute for Health Policy Studies, 1388 Sutter St., 11th Fl., San Francisco, CA 94109.

References

This article has been cited by other articles:

• Ferrer, R. L., Hambidge, S. J., Maly, R. C. (2005). The Essential Role of Generalists in Health Care Systems. ANN INTERN MED 142: 691-699 [Abstract] [Full Text]  
• Forrest, C. B., Majeed, A., Weiner, J. P., Carroll, K., Bindman, A. B. (2003). Referral of Children to Specialists in the United States and the United Kingdom. Arch Pediatr Adolesc Med 157: 279-285 [Abstract] [Full Text]  
• Meltzer, D., Manning, W. G., Morrison, J., Shah, M. N., Jin, L., Guth, T., Levinson, W. (2002). Effects of Physician Experience on Costs and Outcomes on an Academic General Medicine Service: Results of a Trial of Hospitalists. ANN INTERN MED 137: 866-874 [Abstract] [Full Text]  
• Gross, R., Tabenkin, H., Brammli-Greenberg, S. (2000). Who needs a gatekeeper? Patients' views of the role of the primary care physician. Fam Pract 17: 222-229 [Abstract] [Full Text]  
• Grumbach, K., Selby, J. V., Damberg, C., Bindman, A. B., Quesenberry, C. Jr, Truman, A., Uratsu, C. (1999). Resolving the Gatekeeper Conundrum: What Patients Value in Primary Care and Referrals to Specialists. JAMA 282: 261-266 [Abstract] [Full Text]  
• Tabenkin, H., Gross, R., Brammli, S., Shvartzman, P. (1998). Patients' Views of Direct Access to Specialists: An Israeli Experience. JAMA 279: 1943-1948 [Abstract] [Full Text]  
• Leiyu Shi, (1997). Health Care Spending, Delivery, and Outcome in Developed Countries: A Cross-National Comparison. American Journal of Medical Quality 12: 83-93 [Abstract]  
• Fleming, S. T. (1995). Primary Care, Avoidable Hospitalization, and Outcomes of Care: A Literature Review and Methodological Approach. Med Care Res Rev 52: 88-108 [Abstract]  
• Schroeder, S. A., Sandy, L. G. (1993). Specialty Distribution of U.S. Physicians -- The Invisible Driver of Health Care Costs. NEJM 328: 961-963 [Full Text]