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The Future of Primary Care/A Book Review

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A 15 page book summary that reviews The Future of Primary Care, editors editors Jonathan Showstack, Arlyss A. Rothman and Susan B. Hassmiller have assembled an impressive list of expert contributors who, collectively, offer a comprehensive overview of the current state of primary medical care, its dilemmas and threats from the viewpoints of both clinicians and patients, as well as exploring logical and significant recommendation for the future. Each of the authors is cited separately, but all citations are from this 1 book.

Page Count:

15 pages (~225 words per page)

File: KL9_khpricare.rtf

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medical care, its dilemmas and threats from the viewpoints of both clinicians and patients, as well as exploring logical and significant recommendation for the future. The following review, first of all, briefly summarizes each chapter before offering conclusions and an overall evaluation. The editors explain in their preface that this book evolved from a conference sponsored by the Robert Wood Johnson Foundation in 2001 with the purpose of discussing the future of primary care. The rationale behind the meeting was that "primary care is at a crossroads" and the goal for the conference was to "identify a set of normative ideas and principles" that could be used to guide future policymaking strategies (Showstack, Rothman and Hassmiller, 2004, p. x). The next section offers a brief biography of the editors and each contributor, which establishes the credentials of all parties as scholarly experts who are well qualified to address this topic. Part One: Primary Care at a Crossroads The chapters in this section describe the current threats and dilemmas facing contemporary primary care. The first chapter provides an excellent introduction to the topics that are covered in the text, as Moore outlines the issues involved and also provides history that contrasts the way in which primary care was conceptualized in the first half of the twentieth century, as compared with the realities of the second half. Previously the main deliver of primary care, i.e., the general practitioner (GP) was "available twenty-four hours a day, healing the sick, aiding the needy...friend of his patients in good and bad times" (Moore, 2004, p. 3). Moore recounts the history of GP medicine through the last decades of the twentieth century and then describes the multiple threats to the primary care model of medicine. These threats include oversupply; competition; substitution; consumer trends; ...

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