This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (1)  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in this journal  Topic Collections  • Medical Practice, Other  • Primary Care/ Family Medicine  • Health Care Reform  • Alert me on articles by topic  Social Bookmarking   What's this?

Christopher B. Forrest, MD, PhD

Arch Intern Med. 2009;169(11):1062-1068.

High use of specialist physicians and specialized procedures coupled with low exposure to primary care are distinguishing traits of the US health care system. Although the tasks of the primary care medical home are well established, consensus on the normative clinical roles of specialist physicians has not been achieved, which makes it unlikely that the specialist workforce is being used most effectively and efficiently. This article describes a typology of specialists' clinical roles that is based on the conceptual basis for health care specialism and empirical evaluations of the specialty referral process. The report concludes with a discussion on the implications of the typology for improving the effectiveness and efficiency of the primary-specialty care interface.

Author Affiliation: University of Pennsylvania School of Medicine, Philadelphia.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

In This Issue of Archives of Internal Medicine
Arch Intern Med. 2009;169(11):1014.
FULL TEXT  

Improving the Primary Care–Specialty Care Interface: Getting From Here to There
Alice Hm Chen and Hal F. Yee, Jr
Arch Intern Med. 2009;169(11):1024-1026.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Improving the Primary Care-Specialty Care Interface: Getting From Here to There
Chen and Yee
Arch Intern Med 2009;169:1024-1026.
FULL TEXT