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December 13, 2000

Generalist vs Specialist Medical Care

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor

JAMA. 2000;284(22):2873-2874. doi:10.1001/jama.284.22.2869

To the Editor: In his Editorial about the growth of specialization, Dr Barondess1 stated that " . . . it is clear that subspecialist practice contributes to fragmentation of patient care" and ". . . subspecialist care is by and large more costly than generalist care. . . ." He then proposes that " . . . one possible answer to the continuing growth of subspecialism is a return to programs seeking to develop sophisticated generalists capable of not only primary care, but of secondary and . . . tertiary care as well."

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