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

The DOI matches its Crossref record.

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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Metadata

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
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Technology
  • Health Sciences › Medicine › Family Practice › 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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