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Funding primary care in the United States

Mary Nettleman (Mary Nettleman is Professor and Chair, Department of Medicine, Michigan State University, East Lansing, Michigan, USA.)
Leanne Yanni (Leanne Yanni is Assistant Professor, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia, USA.)

Clinical Governance: An International Journal

ISSN: 1477-7274

Article publication date: 1 December 2003

684

Abstract

In the USA, primary care is usually defined as comprehensive or coordinated care that is delivered by physicians practicing general internal medicine, family practice, or pediatrics. Obstetrics and gynecology is sometimes included under the auspices of primary care since many women, particularly during the childbearing years, rely on these physicians for preventive services. Over the last 50 years, the funding models for primary care in the USA have been inconsistent and fragmented, resulting in a complex and inadequate funding system. Although many countries have developed government‐sponsored, universal health care plans, the USA did not choose this route. Rather, significant change in US medicine has been the intended or unintended result of legislation and market‐forces.

Keywords

Citation

Nettleman, M. and Yanni, L. (2003), "Funding primary care in the United States", Clinical Governance: An International Journal, Vol. 8 No. 4, pp. 346-349. https://doi.org/10.1108/14777270310499432

Publisher

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MCB UP Ltd

Copyright © 2003, MCB UP Limited

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