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November 18, 1998

Specialist Delivery of Primary Care—Reply

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;280(19):1659. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-19-jbk1118

In Reply.—The Washington State study reported by Dr Rosenblatt and colleagues1 dealt with primary care delivered by specialists and subspecialists, not that provided by family physicians, general internists, or general pediatricians. Although the study showed that many specialists and subspecialists do not provide primary care to their patients, it also demonstrated that, as measured by proxies, pulmonologists, oncologists, rheumatologists, gynecologists, and general surgeons do provide such care. This finding is significant, and the physicians involved constitute more than "2 or 3 non–primary care specialties."