Contribution of Primary Care to Health Systems and Health

Milbank Quarterly - Tập 83 Số 3 - Trang 457-502 - 2005
Bárbara Starfield1,2, Leiyu Shi1,2, James Macinko1,2
1Johns Hopkins University
2New York University

Tóm tắt

Evidence of the health‐promoting influence of primary care has been accumulating ever since researchers have been able to distinguish primary care from other aspects of the health services delivery system. This evidence shows that primary care helps prevent illness and death, regardless of whether the care is characterized by supply of primary care physicians, a relationship with a source of primary care, or the receipt of important features of primary care. The evidence also shows that primary care (in contrast to specialty care) is associated with a more equitable distribution of health in populations, a finding that holds in both cross‐national and within‐national studies. The means by which primary care improves health have been identified, thus suggesting ways to improve overall health and reduce differences in health across major population subgroups.

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Tài liệu tham khảo

Agency for Healthcare Research and Quality, 2004, 2004 National Healthcare Disparities Report

Atun R., 2004, What Are the Advantages and Disadvantages of Restructuring a Health Care System to Be More Focused on Primary Care Services?

Baicker K., 2004, Medicare Spending, the Physician Workforce, and Beneficiaries' Quality of Care, Health Affairs, 4, 184

10.1378/chest.110.6.1589

10.1097/00005650-199806000-00011

10.1007/BF02598266

10.2105/AJPH.84.1.62

10.1136/bmj.38156.690150.AE

Campbell R.J., 2003, Cervical Cancer Rates and the Supply of Primary Care Physicians in Florida, Family Medicine, 35, 60

10.1093/intqhc/8.1.51

10.2190/PCF7-ALX9-6CN3-7X9G

Castro‐Leal F., 2000, Public Spending on Health Care in Africa: Do the Poor Benefit?, Bulletin of the World Health Organization, 78, 66

10.1377/hlthaff.21.1.140

10.1093/ije/dyh261

Donaldson M.S., 1996, Primary Care: America's Health in a New Era

10.1001/archinte.158.15.1596

10.1080/028134301750235394

10.1136/bmj.324.7330.135

10.3122/15572625-13-6-408

10.1377/hlthaff.24.1.67

10.1097/00005650-199808001-00004

Forrest C.B., 1996, The Effect of First‐Contact Care with Primary Care Clinicians on Ambulatory Health Care Expenditures, Journal of Family Practice, 43, 40

10.2105/AJPH.88.9.1330

Fox S.A., 1994, The Importance of Physician Communication on Breast Cancer Screening of Older Women, Archives of Internal Medicine, 154, 2058, 10.1001/archinte.1994.00420180062008

10.1056/NEJM199208063270613

Franks P., 1998, Primary Care Physicians and Specialists as Personal Physicians. Health Care Expenditures and Mortality Experience, Journal of Family Practice, 47, 105

10.1136/bmj.314.7098.1870

Friedman B., 2001, Health Insurance, Primary Care, and Preventable Hospitalization of Children in a Large State, American Journal of Managed Care, 7, 473

10.1542/peds.101.3.e1

Graham H., 2004, Health Inequalities: Concepts, Frameworks, and Policy

Greenfield S., 1992, Variations in Resource Utilization among Medical Specialties and Systems of Care. Results from the Medical Outcomes Study, Journal of the American Medical Association, 267, 1624, 10.1001/jama.1992.03480120062034

Griffin S., 1998, Diabetes Care: The Effectiveness of Systems for Routine Surveillance for People with Diabetes

Grumbach K., 1999, Quality of Primary Care Practice in a Large HMO according to Physician Specialty, Health Services Research, 34, 485

10.1136/bmj.314.7086.1014

10.1093/pubmed/24.4.252

10.1186/1472-6963-4-12

10.1093/ije/30.4.720

10.2307/2174157

10.2105/AJPH.81.8.1023

10.1046/j.1525-1497.1999.08168.x

10.1016/S1532-0464(03)00057-1

Health Council of the Netherlands, 2004, European Primary Care

10.1136/bmj.38265.493773.8F

10.1097/00005650-199612000-00005

10.1136/bmj.303.6811.1181

10.1097/00000441-199702000-00005

10.2105/AJPH.79.7.843

Institute of Medicine (IOM), 1978, A Manpower Policy for Primary Health Care

10.1136/bmj.318.7197.1515

10.1016/S0140-6736(03)13811-1

10.1093/intqhc/8.4.367

Klijzing F., 1982, The Decline of Infant Mortality in Costa Rica, 1950–73: Modernization or Technological Diffusion?, Malaysian Journal of Tropical Geography, 5, 22

10.1111/j.0887-378X.2004.00327.x

Lamberts H., 1993, The International Classification of Primary Care in the European Community

10.1370/afm.338

10.1016/S0168-8510(97)00017-1

10.1001/archinte.162.1.73

10.2105/AJPH.83.7.960

10.1377/hlthaff.24.2.398

Macinko J. C.Almeida andP.Sa.2005.Evaluating Primary Care Services in Brazil: A Rapid Appraisal Methodology. Unpublished manuscript.

10.1111/1475-6773.00149

Macinko J. B.Starfield andL.Shi.2005.Quantifying the Health Benefits of Primary Care Physician Supply in the United States. Unpublished manuscript.

10.2105/AJPH.88.10.1539

10.2105/AJPH.89.6.893

Mark D.H., 1996, Medicare Costs in Urban Areas and the Supply of Primary Care Physicians, Journal of Family Practice, 43, 33

10.2105/AJPH.79.12.1628

Morales L.S., 2001, Differences in CAHPS Adult Survey Reports and Ratings by Race and Ethnicity: An Analysis of the National CAHPS Benchmarking Data 1.0, Health Services Research, 36, 595

10.1097/00005650-200003000-00007

National Committee for Vital and Health Statistics, 2001, Information for Health: A Strategy for Building the National Health Information Infrastructure

NCI Breast Cancer Screening Consortium, 1990, Screening Mammography: A Missed Clinical Opportunity?, Journal of the American Medical Association, 264, 54, 10.1001/jama.1990.03450010058030

Newacheck P.W., 1996, Children's Access to Primary Care: Differences by Race, Income, and Insurance Status, Pediatrics, 97, 26

10.1377/hlthaff.24.2.465

10.1787/716472585704

Organization for Economic Cooperation and Development (OECD), 2001, Health Data 2001: A Comparative Analysis of 30 Countries

Pan American Health Organization (PAHO), 2005, Regional Core Health Data

Parchman M.L., 1994, Primary Care Physicians and Avoidable Hospitalizations, Journal of Family Practice, 39, 123

10.1001/archfami.8.6.487

Parnell S.J., 1993, Care of Diabetic Patients in Hospital Clinics and General Practice Clinics: A Study in Dudley, British Journal of General Practice, 43, 65

10.1001/archpedi.1996.02170300033007

10.1093/heapol/13.2.140

10.1177/107755870105800205

Proser M., 2005, A Nation's Health at Risk III: Growing Uninsured, Budget Cutbacks Challenge President's Initiative to Put a Health Center in Every Poor County

Raddish M., 1999, Continuity of Care: Is It Cost Effective?, American Journal of Managed Care, 5, 727

10.1111/j.1748-0361.2003.tb00552.x

10.1093/heapol/12.3.214

10.1016/S1353-8292(00)00035-6

Riveron Corteguera R., 2000, Estrategias para reducir la mortalidad infantil. Cuba 1995–1999, Revista Cubana de Pediatria, 72, 147

Roetzheim R.G., 1999, The Effects of Physician Supply on the Early Detection of Colorectal Cancer, Journal of Family Practice, 48, 850

10.1067/mjd.2000.106242

Roos N.P., 1979, Who Should Do the Surgery? Tonsillectomy‐Adenoidectomy in One Canadian Province, Inquiry, 16, 73

Roos N.P., 1998, Factors Influencing the Frequency of Visits by Hypertensive Patients to Primary Care Physicians in Winnipeg, Canadian Medical Association Journal, 159, 777

10.2105/AJPH.90.1.97

10.2307/1967066

10.1590/S1020-49892004000200004

10.1016/S0277-9536(03)00322-8

Rosser W.W., 1996, Approach to Diagnosis by Primary Care Clinicians and Specialists: Is There a Difference?, Journal of Family Practice, 42, 139

10.1016/S0140-6736(05)17709-5

10.1001/archpedi.155.2.184

10.1016/S0140-6736(05)70201-4

Saver B., 2002, Financing and Organization Findings Brief, Academy for Research and Health Care Policy, 5, 1

Schappert S.M., 1994, National Ambulatory Medical Care Survey 1991, Vital and Health Statistics, 13, 1

Schoen C., 2004, Primary Care and Health System Performance: Adults' Experiences in Five Countries, Health Affairs, 4, 487

10.1111/j.1748-0361.1997.tb00970.x

10.1111/1475-6773.00160

10.1056/NEJM199209103271107

10.1353/hpu.2010.0460

10.2190/BDUU-J0JD-BVEX-N90B

10.1097/00005650-199910000-00010

10.2105/AJPH.2003.031716

10.1016/j.puhe.2004.12.007

10.1016/j.socscimed.2004.11.056

10.3122/jabfm.16.5.412

10.1161/01.STR.0000082380.80444.A9

10.1136/jech.2003.013078

10.2190/N4M8-303M-72UA-P1K1

10.2105/AJPH.91.8.1246

Shi L., 1999, Income Inequality, Primary Care, and Health Indicators, Journal of Family Practice, 48, 275

10.1111/1475-6773.t01-1-00036

Shi L., 2001, Validating the Adult Primary Care Assessment Tool, Journal of Family Practice, 50, 161W

Sox H.C., 1996, Decision‐Making: A Comparison of Referral Practice and Primary Care, Journal of Family Practice, 42, 155

Starfield B., 1991, Primary Care and Health. A Cross‐National Comparison, Journal of the American Medical Association, 266, 2268, 10.1001/jama.1991.03470160100040

10.1016/S0140-6736(94)90634-3

Starfield B., 1998, Primary Care: Balancing Health Needs, Services, and Technology, 10.1093/oso/9780195125429.001.0001

Starfield B., 2001, New Paradigms for Quality in Primary Care, British Journal of General Practice, 51, 303

Starfield B., 1998, Consumer Experiences and Provider Perceptions of the Quality of Primary Care: Implications for Managed Care, Journal of Family Practice, 46, 216

Starfield B., 2002, Variability in Physician Referral Decisions, Journal of the American Board of Family Practice, 15, 473

10.1370/afm.1

10.1370/afm.307

10.1016/S0168-8510(01)00208-1

10.1542/peds.113.S4.1493

Starfield B., 2005, The Role of Evidence in Physician Workforce Policy, Health Affairs, 5, 97

10.1001/jama.269.24.3136

Stevens G.D., 2002, Racial and Ethnic Disparities in the Quality of Primary Care for Children, Journal of Family Practice, 51, 573

10.1177/1077558702250229

Stevens R., 1971, American Medicine and the Public Interest

Taira D.A., 1997, Asian‐American Patient Ratings of Physician Primary Care Performance, Journal of General Internal Medicine, 12, 237, 10.1007/s11606-006-5046-0

Talbot‐Smith A., 2004, Questioning the Claims from Kaiser, British Journal of General Practice, 54, 415

U.S. Department of Health and Human Services, 2000, Healthy People 2010. 2nd ed., with Understanding and Improving Health and Objectives for Improving Health

10.1016/S0895-4356(97)00306-5

10.1002/hec.919

Villalbi J.R., 1999, An Evaluation of the Impact of Primary Care Reform on Health, Atención Primaria, 24, 468

10.2190/3B1X-EE5T-T7GR-KGUD

Waitzkin H., 1997, Primary Care in Cuba: Low‐ and High‐Technology Developments Pertinent to Family Medicine, Journal of Family Practice, 45, 250

10.1067/mps.2003.12

10.1056/NEJM199605303342206

Weiner J.P., 2004, Prepaid Group Practice Staffing and U.S. Physician Supply: Lessons for Workforce Policy, Health Affairs, W4

Weiner J.P., 1982, Baltimore City Primary Care Study: The Role of the Office‐Based Physician, Maryland State Medical Journal, 31, 48

10.2105/AJPH.73.6.666

10.2105/AJPH.90.11.1771

10.2105/AJPH.86.12.1742

Weitzman M., 1999, Black and White Middle Class Children Who Have Private Health Insurance in the United States, Pediatrics, 104, 151, 10.1542/peds.104.S1.151

10.1056/NEJM199303043280906

10.1097/00005650-199807000-00005

World Health Organization, 1978, Declaration of Alma‐Ata: International Conference on Primary Health Care, Alma‐Ata, USSR, 6–12 September 1978

World Health Organization, 2003, A Global Review of Primary Health Care: Emerging Messages

World Organization of National Colleges, Academies and Academic Association of General Practitioners/Family Physicians (WONCA), 1991, The Role of the General Practitioner/Family Physician in Health Care Systems