Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Health Aff (Millwood). 2010 May;29(5):760-5. doi: 10.1377/hlthaff.2010.0014.

Reflections on the past and future of primary care.

Author information

  • 1Internal medicine, University of Michigan, Ann Arbor, MI, USA. jhowell@umich.edu

Abstract

Medical care and primary care were at one time synonymous. All health care was primary. The concept and terminology of primary care came into widespread use during the 1960s, reflecting a specific policy agenda: bolstering the role of the generalist physician, which had changed dramatically following World War II. This essay describes the transformation of the nineteenth-century physician making house calls on horseback into the twenty-first-century primary care physician contemplating the electronic records of her patient population. The essential point is that "primary care" was born out of tension with other forms of medical care. In the future, primary care will be reinvented, and changes will be caused by the sorts of external social, political, and economic forces that previously led to systemic transformation.

PMID:
20439858
[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for HighWire
    Loading ...
    Write to the Help Desk