EPID 600 - Introduction to Public Health Practice - Summer 2017

C.M.G. Buttery, MB BS, MPH
Primary Care & Public Health - Objectives

Upon completion of this session the students should be able to describe

Key Words: 

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.


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.

Go to Lecture for this session.