A Typology of Specialists' Clinical Roles

Christopher B Forrest

doi:10.1001/archinternmed.2009.114

Cited by 111Healthcare Systems and TechnologyPrimary Care and Health OutcomesHealthcare Policy and Management

A Typology of Specialists' Clinical Roles

Christopher B Forrest·2009·Archives of Internal Medicine

DOI 10.1001/archinternmed.2009.114

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Abstract

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.

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Audit methodology can be used to assess insurance-related disparities in health care access.
“Audit methodology, traditionally used for detecting “real life” discriminatory behavior in housing and labor markets, can be used to assess insurance-related disparities in health care access.19”
From Auditing Access to Specialty Care for Children with Public Insurance (2011) · cites this paper as [19]

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Ackerman, S., & Gleason, N. J. (2018) · Journal of Ambulatory Care Management · doi:10.1097/jac.0000000000000253 · Cited by 4 · see citing works
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Authors: Forrest, C. B.
Affiliations: University of Pennsylvania (US)
Corresponding author: Christopher B Forrest
Venue: Archives of Internal Medicine
Publisher: American Medical Association (AMA)
Published: 2009-06-08
Volume: 169
Issue: 11
Pages: 1062
ISSN: 0003-9926 (ISSN-L)
DOI: 10.1001/archinternmed.2009.114
OpenAlex: W1576730632
Cited by: 111
References: 0
Citations by year: 2024: 6 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 9 · 2019: 7 · 2018: 11 · 2017: 5 · 2016: 11 · 2015: 13 · 2014: 8 · 2013: 6 · 2012: 5
FWCI: 14.73
Type: journal article
Language: en
Open access: closed
Locations: Archives of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords: patient-centered medical home, specialist workforce, health care utilization
MeSH terms: Communication, Continuity of Patient Care, Humans, Interprofessional Relations, Medicine, Physician's Role, Physicians, Family, Referral and Consultation, Specialization, Medical Records Systems, Computerized, Telemedicine

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A Typology of Specialists' Clinical Roles

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