| Show upon the providers specialty Some primary care providers eg family physicians practicing in urgent care centers or emergency rooms are not truly providing comprehensively primary care when defined Consistent with the definitions of the Institute of Medicine Institute of Medicine 1990 and the World Health Organization World Health Organization 1978 there are six ideal characteristics of This definiion has primary care applicability to the understanding of COPC in the following ways Accessible refers to the ability ofpractice to eliminate some of the common barriers to care facing many Americans today such as financial geographical language cultural and the overall lack of primary care providers The room-to-room-to-room approach to health care often does not consider these concems as long as the Some health care rooms are ful providers are surprised to leam of the large number of working Americans and their families who presently lack access to primary care including basic health services Acceptable isterm that is not found in traditional definitions of primary care However its inclusion illustratescritical principle of effective health care This point is best taught delivery through the use of practice experience which demonstrates that effective care must be given in an appropriate mode This model should incorporate the patient social educational economic psychological and cultural realities favorite example involves the choice of an antibiotic formigrant farmworkerchild who lives out of the familycar and works with his parents in the field This case requires that the medicationinstructions be written in Spanish be reasonably inexpensive and that the require not chosen medicine refrigeration By contrast the term noncompliant is suggested as an overused means to blame the patient whentreatment plan does not progress as the clinician desires This is especially true when that treatment plan was Unacceptable given that patient realities Accountable is term that represents two important facets ofprimary care practice The first facet represents the quality of care provided This includes the responsibility for monitoring and improving care over time such as improving the level of preventive health services by raising immunization rates The provided to patients inpractice second facet refers to the provision of cost-effective care and the need to share responsibilty for the expenditure of national health care dollars Comprehensive isgenerally wellunderstood concept that indicates the desire ofprovider to providefull range of primary care services to patients at one practice site the onestop-shopping approach Examples of such practices are federally supported community and migrant health centers that expand their provision of services to include social services as well g Medicaid eligibility I services and case management Coordinated describes the relationship between the primary care practice and those important services psycho-social bio-medical and spiritual that are not provided on-site Ideally there is value inprimary care practice working with the many other services that can ultimately help to improve the patients health Continuity emphasizes how the development ofpatient-provider relationship over time can improve the quality of care provided and enhances the opportunity to offer the patient recommended preventive services 1il Defined Communitydefined community consists oftarget group of individuals within defined geographic area beyond the limits of the current patient load of the practice defined be could community geographically ascounty orcity orgroup of census tracts community could also be defined asspecific group of individuals within that geographical area 13 Digital image 2005 Marriott Library University of Utah Al rights reserved |
