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Original Investigation
February 1982

Primary Health Care: Perspective of the Faculty of a Department of Medicine

Author Affiliations

From the Division of General Medicine and Clinical Epidemiology (Drs Greganti, S. Fletcher, and R. Fletcher); the Departments of Medicine (Drs Greganti, S. Fletcher, and R. Fletcher and Ms Hyde) and Health Education (Dr Earp); the Medical Clinics at North Carolina Memorial Hospital (Dr S. Fletcher); the Robert Wood Johnson Clinical Scholars Program (Dr R. Fletcher); and the School of Public Health (Dr Earp), University of North Carolina, Chapel Hill.

Arch Intern Med. 1982;142(2):325-329. doi:10.1001/archinte.1982.00340150125021

• All full-time faculty in one department of medicine, 66 (85%) of whom are subspecialists, were surveyed to determine standards for provision and attitudes toward the teaching and practice of primary health care (PHC). A 40-item questionnaire on specific attributes of PHC provision was given to 70 eligible faculty members; 66 (94%) responded. Of 17 standards, nine were supported by 50 (75%) or more of the faculty and eight by from 24 (44%) to 48 (73%) faculty members. However, 51 faculty members (77%) indicated some discomfort with primary responsibility for the complete, ongoing care of their patients. Most frequent reasons for this discomfort were clinic inefficiency (31 votes [47%]) and competing commitments (29 votes [44%]). Few faculty indicated they did not enjoy PHC (eight [12%] of the faculty) or considered PHC inappropriate for academic physicians (ten [15%] of the faculty). These results indicate the complexity of faculty attitudes toward PHC and point to a need for departments of medicine to examine their teaching and practice of PHC.

(Arch Intern Med 1982;142:325-329)

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