C.M.G. Buttery, MB BS, MPH
Primary Care & Public Health - Objectives
Upon completion of this session the students should be able to describe
- The distribution of common diseases within the community,
- The role and relationship of primary care physicians to medical consultants and the public health support system.
- The scope of primary care and the role of prevention in primary care practice.
- Development of a plan to improve the number and distribution of primary care physicians,
- How the plan could change the role of community public health agencies and the potential to improve community health status.
- How the Virginia Health Care Foundation and Virginia Primary Car association contribute to primary care access.
Primary Care, Public Health Intervention, Primary Care Physicians, Health Systems, Geographic mal-distribution, Third Party Reimbursement, Rural/Urban distribution. ICD(a) & ICHPPC codes. Recruitment, Retention, Physician Need, Practice Patterns, Case Management, Referral, Integrated Human Services, future health practice systems, health data analysis.
Definition of PC:
AAFP: Family medicine is the medical specialty which provides continuing, comprehensive health care for the individual and family. It is a specialty in breadth that integrates the biological, clinical and behavioral sciences. The scope of family medicine encompasses all ages, both sexes, each organ system and every disease entity
The provisional definition of primary care adopted by the IOM Committee on the Future of Primary Care follows:
Primary care is the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care.
Primary care and public health are two complementary facets of community based care that improve health status.
Go to Lecture for this session.
White K. L. "The Ecology of Public Health" NEJM 1961:263: 18, 885 - 892
The Contemporary "Ecology of US Medical Care" Confirms the Importance of Primary Care -Kerr White Updated (.pdf format)
Schneider: Introduction to Public Health, 4th and 5th Edns. Scan Chapters 26 & 27.
Review the discussion by Dr. Berwick given at the IOM Annual Meeting 2000: Quality of Health and Health Care. Consider how what he says might change primary care delivery.