Generalist Medicine and the U. S. Health System
by Isaacs, Stephen L.; Knickman, James R.Edition: 1st
Format: Paperback
Pub. Date: 2004-04-16
Publisher(s): Jossey-Bass
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Summary
This comprehensive resource illuminates the past, present, and future of generalist medicine. Generalist Medicine and U.S. Health Policy contains new contributions from preeminent authorities and a selection of groundbreaking articles and reports from the past forty years. Generalist Medicine and U.S. Health Policy covers a broad range of topics that+ Examines the current challenges of primary care and generalist medicine+ Offers a chronological history of the growth of generalist medicine since the 1950s+ Reviews the models of care on which generalist medicine is based+ Analyzes the growth of three disciplines¾general internists, family physicians, and pediatricians+ Looks at the supply and distribution of generalist physicians+ Discusses the education and training of generalist physicians+ Reports on the cost and quality of the care provided by generalist versus specialists
Author Biography
Stephen L. Isaacs is a partner in the consulting firm of Isaacs/Jellinek in San Francisco, California, and president of Health Policy Associates, also in San Francisco. He formerly was a professor in the Columbia University School of Public Health.
James R. Knickman is vice president for research and evaluation at The Robert Wood Johnson Foundation in Princeton, New Jersey. He formerly was a professor of nonprofit administration in the Wagner School of New York University.
James R. Knickman is vice president for research and evaluation at The Robert Wood Johnson Foundation in Princeton, New Jersey. He formerly was a professor of nonprofit administration in the Wagner School of New York University.
Table of Contents
| Sources | p. xiii |
| The Authors | p. xvii |
| The Editors | p. xxi |
| Foreword | p. xxiii |
| Editors' Introduction | p. xxv |
| Acknowledgments | p. xxix |
| Primary Care and the Education of Generalist Physicians: Past, Present, and Future | |
| Editors' Introduction to Section One | p. 3 |
| Original Articles | |
| Primary Care Medicine and the Education of Generalist Physicians | p. 5 |
| Reconstructing Primary Care for the Twenty-First Century | p. 48 |
| Primary Care and the Role of Generalist Physicians | |
| Editors' Introduction to Section Two | p. 77 |
| Reprints of Key Reports and Articles | |
| The Ecology of Medical Care | p. 81 |
| The Need for a New Medical Model: A Challenge for Biomedicine | p. 98 |
| Meeting the Challenge of Family Practice (The Willard Committee Report)--Introduction | p. 117 |
| The Generalist Function in Medicine | p. 128 |
| General Internal Medicine at the Crossroads of Prosperity and Despair: Caring for Patients with Chronic Diseases in an Aging Society | p. 138 |
| What Does Family Practice Need to Do Next? A Cross-Generational View | p. 145 |
| Should There Be a Merger to a Single Primary Care Specialty for the Twenty-First Century? An Affirmative View | p. 162 |
| The Generalist Role of Specialty Physicians: Is There a Hidden System of Primary Care? | p. 170 |
| Primary Care and Health: A Cross-National Comparison | p. 187 |
| Primary Care in a New Era: Disillusion and Dissolution? | p. 197 |
| Abstracts from the Literature: Reprint from To Improve Health and Health Care: The Robert Wood Johnson Foundation Anthology | p. 210 |
| Improving the Health Care Workforce: Perspectives from Twenty-Four Years' Experience | p. 228 |
| Grant Report Summaries from The Robert Wood Johnson Foundation | p. 255 |
| Supply and Distribution | |
| Editors' Introduction to Section Three | p. 263 |
| Reprints of Key Reports and Articles | |
| Improving Access to Health Care Through Physician Workforce Reform: Directions for the Twenty-First Century--Findings | p. 265 |
| A Manpower Policy for Primary Health Care: Introduction and Summary | p. 270 |
| The Elusive Generalist Physician: Can We Reach a 50 Percent Goal? | p. 281 |
| Economic and Demographic Trends Signal an Impending Physician Shortage | p. 294 |
| The Ramifications of Specialty-Dominated Medicine | p. 309 |
| Influence of Income, Hours Worked, and Loan Repayment on Medical Students' Decision to Pursue a Primary Care Career | p. 313 |
| Physicians and Rural America | p. 321 |
| Abstracts from the Literature: Reprint from To Improve Health and Health Care: The Robert Wood Johnson Foundation Anthology | p. 331 |
| Practice Sights: State Primary Care Development Strategies | p. 347 |
| Grant Report Summaries from The Robert Wood Johnson Foundation | p. 369 |
| Education And Training | |
| Editors' Introduction to Section Four | p. 379 |
| Reprints of Key Reports and Articles | |
| The Graduate Education of Physicians (The Millis Commission Report)--Chapter 5--Comprehensive Health Care | p. 381 |
| The Education of Physicians for Primary Care (Excerpt): The Elements of a Successful Program | p. 396 |
| Residency Training in Internal Medicine: Time for a Change? | p. 422 |
| The Education of Pediatricians for Primary Care: The Score After Two Score Years | p. 440 |
| Sustaining the Development of Primary Care in Academic Medicine | p. 445 |
| Abstracts from the Literature: Reprint from To Improve Health and Health Care: The Robert Wood Johnson Foundation Anthology | p. 468 |
| Influencing Academic Health Centers: The Robert Wood Johnson Foundation Experience | p. 484 |
| Grant Report Summaries from The Robert Wood Johnson Foundation | p. 498 |
| Quality and Cost | |
| Editors' Introduction to Section Five | p. 505 |
| Generalists and Specialists | |
| Reprints of Key Reports and Articles | |
| Comparing Generalist and Specialty Care: Discrepancies, Deficiencies, and Excesses | p. 509 |
| Abstracts from the Literature | p. 541 |
| Nurse Practitioners and Other Nonphysician Practitioners | |
| Reprints of Reports and Key Articles | |
| Quality of Patient Care by Nurse Practitioners and Physician's Assistants: A Ten-Year Perspective | p. 561 |
| Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians: A Randomized Trial | p. 583 |
| Abstracts from the Literature: Reprint from To Improve Health and Health Care: The Robert Wood Johnson Foundation Anthology | p. 607 |
| Support of Nurse Practitioners and Physician Assistants | p. 611 |
| Grant Report Summaries from The Robert Wood Johnson Foundation | p. 625 |
| Name Index | p. 631 |
| Subject Index | p. 639 |
| Table of Contents provided by Ingram. All Rights Reserved. |
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