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Previous Volume 328:656-660 March 4, 1993 Number 9 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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It is widely agreed that for optimal delivery of health care, half or more of all doctors should be primary care physicians^1,2. Nevertheless, unmoved by considerations of national need, a high and increasing proportion of graduates of U.S. medical schools are choosing to become specialists. Moreover, surveys indicate that many established primary care practitioners are unhappy with their practices³. This growing discordance between policy and reality has led policy makers, practitioners, and academics to suggest a variety of programs to increase the number of generalists. These proposals can be grouped into two categories. One group emphasizes changes in . . . [Full Text of this Article]

Numbers and Quality

Causes and Cures

Education

Problems with Practice and Economic Factors

Conclusions

References

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