Generalist Medicine and the U. S. Health System

by Isaacs, Stephen L.; Knickman, James R.

• ISBN13: 9780787972455
• ISBN10: 0787972452
• Edition: 1st
• Format: Paperback
• Copyright: 2004-04-16
• Publisher: Jossey-Bass

Summary

This comprehensive resource illuminates the past, present, and future of generalist medicine. Generalist Medicine and U.S. Health Policy contains new contributions from preeminent authorities and a selection of groundbreaking articles and reports from the past forty years. Generalist Medicine and U.S. Health Policy covers a broad range of topics that+ Examines the current challenges of primary care and generalist medicine+ Offers a chronological history of the growth of generalist medicine since the 1950s+ Reviews the models of care on which generalist medicine is based+ Analyzes the growth of three disciplines¾general internists, family physicians, and pediatricians+ Looks at the supply and distribution of generalist physicians+ Discusses the education and training of generalist physicians+ Reports on the cost and quality of the care provided by generalist versus specialists

Author Biography

Stephen L. Isaacs is a partner in the consulting firm of Isaacs/Jellinek in San Francisco, California, and president of Health Policy Associates, also in San Francisco. He formerly was a professor in the Columbia University School of Public Health.
James R. Knickman is vice president for research and evaluation at The Robert Wood Johnson Foundation in Princeton, New Jersey. He formerly was a professor of nonprofit administration in the Wagner School of New York University.

Table of Contents

Sources	p. xiii
The Authors	p. xvii
The Editors	p. xxi
Foreword	p. xxiii
Editors' Introduction	p. xxv
Acknowledgments	p. xxix
Primary Care and the Education of Generalist Physicians: Past, Present, and Future
Editors' Introduction to Section One	p. 3
Original Articles
Primary Care Medicine and the Education of Generalist Physicians	p. 5
Reconstructing Primary Care for the Twenty-First Century	p. 48
Primary Care and the Role of Generalist Physicians
Editors' Introduction to Section Two	p. 77
Reprints of Key Reports and Articles
The Ecology of Medical Care	p. 81
The Need for a New Medical Model: A Challenge for Biomedicine	p. 98
Meeting the Challenge of Family Practice (The Willard Committee Report)--Introduction	p. 117
The Generalist Function in Medicine	p. 128
General Internal Medicine at the Crossroads of Prosperity and Despair: Caring for Patients with Chronic Diseases in an Aging Society	p. 138
What Does Family Practice Need to Do Next? A Cross-Generational View	p. 145
Should There Be a Merger to a Single Primary Care Specialty for the Twenty-First Century? An Affirmative View	p. 162
The Generalist Role of Specialty Physicians: Is There a Hidden System of Primary Care?	p. 170
Primary Care and Health: A Cross-National Comparison	p. 187
Primary Care in a New Era: Disillusion and Dissolution?	p. 197
Abstracts from the Literature: Reprint from To Improve Health and Health Care: The Robert Wood Johnson Foundation Anthology	p. 210
Improving the Health Care Workforce: Perspectives from Twenty-Four Years' Experience	p. 228
Grant Report Summaries from The Robert Wood Johnson Foundation	p. 255
Supply and Distribution
Editors' Introduction to Section Three	p. 263
Reprints of Key Reports and Articles
Improving Access to Health Care Through Physician Workforce Reform: Directions for the Twenty-First Century--Findings	p. 265
A Manpower Policy for Primary Health Care: Introduction and Summary	p. 270
The Elusive Generalist Physician: Can We Reach a 50 Percent Goal?	p. 281
Economic and Demographic Trends Signal an Impending Physician Shortage	p. 294
The Ramifications of Specialty-Dominated Medicine	p. 309
Influence of Income, Hours Worked, and Loan Repayment on Medical Students' Decision to Pursue a Primary Care Career	p. 313
Physicians and Rural America	p. 321
Abstracts from the Literature: Reprint from To Improve Health and Health Care: The Robert Wood Johnson Foundation Anthology	p. 331
Practice Sights: State Primary Care Development Strategies	p. 347
Grant Report Summaries from The Robert Wood Johnson Foundation	p. 369
Education And Training
Editors' Introduction to Section Four	p. 379
Reprints of Key Reports and Articles
The Graduate Education of Physicians (The Millis Commission Report)--Chapter 5--Comprehensive Health Care	p. 381
The Education of Physicians for Primary Care (Excerpt): The Elements of a Successful Program	p. 396
Residency Training in Internal Medicine: Time for a Change?	p. 422
The Education of Pediatricians for Primary Care: The Score After Two Score Years	p. 440
Sustaining the Development of Primary Care in Academic Medicine	p. 445
Abstracts from the Literature: Reprint from To Improve Health and Health Care: The Robert Wood Johnson Foundation Anthology	p. 468
Influencing Academic Health Centers: The Robert Wood Johnson Foundation Experience	p. 484
Grant Report Summaries from The Robert Wood Johnson Foundation	p. 498
Quality and Cost
Editors' Introduction to Section Five	p. 505
Generalists and Specialists
Reprints of Key Reports and Articles
Comparing Generalist and Specialty Care: Discrepancies, Deficiencies, and Excesses	p. 509
Abstracts from the Literature	p. 541
Nurse Practitioners and Other Nonphysician Practitioners
Reprints of Reports and Key Articles
Quality of Patient Care by Nurse Practitioners and Physician's Assistants: A Ten-Year Perspective	p. 561
Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians: A Randomized Trial	p. 583
Abstracts from the Literature: Reprint from To Improve Health and Health Care: The Robert Wood Johnson Foundation Anthology	p. 607
Support of Nurse Practitioners and Physician Assistants	p. 611
Grant Report Summaries from The Robert Wood Johnson Foundation	p. 625
Name Index	p. 631
Subject Index	p. 639
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