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December 1977

Primary Care and the Practice of Medicine

Author Affiliations

Daytona Beach, Fla

Arch Intern Med. 1977;137(12):1736. doi:10.1001/archinte.1977.03630240068022

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The many facets of "primary care" are well explored in this easily read primer, which is edited by Dr Noble. Contributors, who write from experience, include family physicians, internists, educators, institutional directors, nurses, and planners. Four appropriate sections address first, the patient and primary physician, second, types of practice organization, third institutional interrelationships, and fourth, community resources. Chapter subdivisions are insightful and most provocative, especially since a fatiguing compendium is not attempted.

Patient and physician expectations, needs, and outcome criteria are discussed, and the question of who has what responsibility is addressed. How the patient relates to family and community, is well-illustrated. The traditional practice, its structure, extended practices, and cost effectiveness are discussed. The questions of who is the primary physician in the hospital, and how physician-consultant relationships can be improved are answered. Traditional modes of continuing education are rightfully questioned, and positive suggestions are given toward improved practice

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