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.
- Competencies: 1A(1,2,8) 1C(1,2,4,) 1D(1.2.4.6.7.8.10) 1T(1-5), IIA(1-7)
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. AAFP & IOM definitions
Concept:
Primary care and public health are two complementary facets of community based care that improve health status.
References:
Go to Lecture for this session.Instructor Handouts.
Bookmarks for 2008
Maxcy Rosenau
12th Edn. Chap 1 & 65.
14th Edn - not as good as 12th but look at chaps 1 & 66
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, 2nd Edn. Scan Chapters 25 and 26General reference: R. Rakel - Family Practice,
Review this site about patient safety as a primary care & public health issue.
Also, review the AMA statement on Improving Access
Also, 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. (.pdf)