Primary care providers are often the first point of contact for patients attempting to navigate a complex health care delivery system and seeking referrals to specialists. RAND has explored the increasing use of emergency departments as a primary care setting, the influence of primary care on health care spending, shared decisionmaking between patients and primary care providers, the emergence of retail health clinics, and more.
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Much of the shortage of primary care physicians expected over the next decade could be eliminated if the nation increases use of new models of medical care that expand the role of nurse practitioners and physician assistants.
RAND works closely with the Centers for Medicare & Medicaid Services to design, test, implement, and evaluate demonstration projects that span a wide range of care settings and issues.
This paper assesses priorities for policy research dealing with nutrition interventions in primary health care programs in developing countries. Research and demonstration projects for "second best" growth-monitoring programs are needed, as are tests...
The authors present the most comprehensive set of clinical indicators that have ever been developed for use in UK general practice.
Evidence Based Care Models for Recognizing and Treating Alcohol Problems in Primary Care Settings
Clinician Guide to Depression Assessment and Management in Primary Care
The User's Guide describes each component of the Partners in Care quality-improvement kit, its implementation, and its design features.
Partners in Care is a real-world trial to determine whether diverse primary care practices can implement previously tested, effective models of care for depression.
Several studies have concluded that specialists form a hidden system for primary care delivery. These studies, however, assume that a specialist who provides the majority of care is the primary care physician. Using data for a one-year period from 2,...
Primary care is expected to redress many of the ill effects brought about by medical specialization and technology, but it is being advocated with the same uncritical enthusiasm as were earlier technological developments in medicine. This paper focu...