Primary Care: Balancing Health Needs, Services, and Technology

Front Cover
Oxford University Press, 1998 - Medical - 438 pages
In Primary Care: Balancing Health Needs, Services, and Technology, Barbara Starfield presents evidence of the positive impact of primary care on the health of populations and provides innovative methods to evaluate the attainment and contribution primary care systems and practitioners. This volume is a valuable extension of the author's 1992 book on primary care, underscoring two additional areas: the role of primary care in facilitating equity in health services, and the emerging overlap between clinical medicine and public health. As primary care increasingly informs health care decision-making throughout the world, this updated edition is critical for the future trajectory of health policy.
 

Contents

Primary Care and Its Relationship to Health
3
A Framework for Measuring Primary Care
19
Morbidity in Primary Care
35
Describing Primary Care
55
Primary Care Subspecialists and NonPhysician Practitioners
75
Primary Care in the Context of Health Systems
101
The Gate
119
Patient Lists and Personfocused Care Over Time
143
A Clinical View
245
A Population View
281
Public Health and CommunityOriented Primary Care
313
Primary Care Systems in Western Industralized Nations
335
Information Systems for Primary Care
357
Primary Care Research Needs
377
Health Policies to Achieve Effectiveness and Equity
397
Epilogue
417

PractitionerPatient Interactions
169
Who Should Provide What
181
Putting It All Together
213

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About the author (1998)

Barbara Starfield is at Johns Hopkins University School of Hygiene and Public Health.

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