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December 27, 1985

Notice of Duplicate Publication-Reply

Author Affiliations

Rutgers Medical School Piscataway, NJ

JAMA. 1985;254(24):3423. doi:10.1001/jama.1985.03360240035018

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In Reply.—  I am sorry that the editors have obtained the impression that the article was a duplicate publication of an earlier article in the New EnglandJournal of Medicine. I am surprised by this editorial decision, because my coauthor and I believe that both in purpose and content the two articles are significantly different from each other.The material in the recent JAMA article was first prepared for presentation by one of us at a meeting of the Fourth International Congress of the World Federation of Public Health Associations, whose theme was "Lessons Learned in Primary Care." A review of the literature led us to conclude that the effects of a glut of specialists on primary care, and the organization of care, had received insufficient attention, and we decided to develop a more detailed discussion of these issues.To be sure, these manuscripts contain some common material, in terms