Family-Oriented Primary Care

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I was a Medical Student in 1966 when the Millis Report on the training of the generalist physician was published,de?ning the concept of primary care. According to the Report, the primary provider has four major responsib- ities or roles. The ?rst role is that of initial contact care of the undiffer- tiated patient. The second is to provide comprehensive care based on the belief that the primary provider should be able to manage the overwhe- ing majority of problems with which patients present. Equally important is the third role―continuity and coordination of care within the health care system. Finally,the primary provider is responsible for demonstrating le- ership in the community. This Report’s description of a primary provider seems as relevant today as it was when it was written. In 1994,the Institute of Medicine’s assessment of primary care added the responsibility of family and community integration of care to the Millis Report description. Without question there are many challenges to a contemporary imp- mentation of this comprehensive description of primary care, beginning with the level of individual patients who so often suffer from complex pr- lems, such as mental disorders and obesity. Treating these conditions in a brief primary care visit is dif?cult. At the level of the larger system, re- bursement is often inadequate and can represent policies that are uns- portive of primary care, such as those that compromise payment for preventive services that help patients to quit smoking or lose weight.
ASIN: 0387986146
VSKU: DBV.0387986146.A
Condition: Acceptable
Author/Artist:McDaniel, PhD Susan H.|Hepworth, PhD Jeri|Lorenz, MD Alan|Campbell, MD Thomas L.
Binding: Paperback
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Most of the items in our store are used. The item's condition grade is indicated near the bottom of the product description. If you have any questions regarding specific details of an item, please contact us. We use the following rating scale:

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  • Used - Very Good: Item may have minor cosmetic defects (marks, wears, cuts, bends, crushes) on the cover, spine, pages or dust cover. Shrink wrap, dust covers, or boxed set case may be missing. Item may contain remainder marks on outside edges, which should be noted in listing comments. Item may be missing bundled media. 
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  • Used - Acceptable: All pages and the cover are intact, but shrink wrap, dust covers, or boxed set case may be missing. Pages may include limited notes, highlighting, or minor water damage but the text is readable. Item may but the dust cover may be missing. Pages may include limited notes and highlighting, but the text cannot be obscured or unreadable.

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  • Used - Good: Case may be damaged or come repackaged. Disc may have up to 1.5cm marking but is in great working condition. 
  • Used - Acceptable: A product with extensive external signs of wear, but is in great working condition. The case may be damaged. The cover art, liner, notes, or other inclusion may be marked, or one or all of these items may be missing.
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