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Right arrow Administration and Practice Management

AAP Grand Rounds 3:32-33 (2000)
© 2000 American Academy of Pediatrics

ADMINISTRATION AND PRACTICE MANAGEMENT

The Changing Scope of Primary Care Practice

Source: St. Peter RF, Reed MC, Kemper P, Blumenthal D. Changes in the scope of care provided by primary care physicians. N Engl J Med. 1999;341:1980–1985.

The first 20% of the full text of this article appears below.

The authors analyzed physicians’ assessment of changes in the scope of primary care practice and their views about these changes. Opinions were solicited by a telephone survey of a representative random sample of continental US physicians providing direct patient care. From August 1996 to August 1997, 12,385 physicians were interviewed, a 65% response rate. The analysis was based on the responses of 7,015 primary care and 5,092 specialist physicians delivering direct patient care at least 20 hours per week for at least 2 years. Primary care was defined as family or general practice, general internal medicine, or pediatrics. Only 22% of the respondents were pediatricians, including presumably both primary care generalists and pediatric subspecialists (eg, neonatologists, hematologists, etc.).

Thirty percent of primary . . . [Full Text of this Article]

Frederick P. Rivara, MD, FAAP
Pediatrics, University of Washington, Seattle, WA