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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In their article "Primary Care Quality in the Medicare Program," Safran et al¹ describe their findings from an analysis of a large data set using a validated survey tool that asks beneficiaries about their experience with primary care. They conclude that " . . . beneficiaries [in the fee-for-service Medicare program vs Medicare-qualified health maintenance organizations] are increasingly left with a trade-off involving differences in cost and quality." We disagree. Derived from an Institute of Medicine study of primary care, the analytic tool used by Safran et al is conceptually bound by an older model of care delivery. Within Kaiser Permanente, we have developed team-based care using the primary care physician as the center and coordinator of care. Members may see their physician or their physician's team members, including such professionals as advanced practice nurses, registered nurse practitioners, physical therapists, behaviorists, health educators, and nutritionists. Our members may access care . . . [Full Text of this Article]

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RELATED ARTICLE

Primary Care Quality in the Medicare Program: Comparing the Performance of Medicare Health Maintenance Organizations and Traditional Fee-for-Service Medicare
Dana Gelb Safran, Ira B. Wilson, William H. Rogers, Jana E. Montgomery, and Hong Chang
Arch Intern Med. 2002;162(7):757-765.
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