Primary care in the United States: Organisation of primary care in the United States

doi:10.1136/bmj.326.7390.631

BMJ 2003;326:631-634 ( 22 March )

Primary care

Primary care in the United States

Organisation of primary care in the United States

Andrew B Bindman, professor ^a, Azeem Majeed, professor ^b.

^a Departments of Medicine, and Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA 94110, USA, ^b Primary Care Research Unit, School of Public Policy, University College London, London WC1H 9QU

Correspondence to: A B Bindman Bindman@itsa.ucsf.edu

The first 150 words of the full text of this article appear below.

The replacement of health authorities by primary care trusts in 2002 marked the beginning of a new chapter in the evolutionof primary care in Britain's national health service. The explanationsfor these reforms include trying to improve the quality and accessibilityof health services in the United Kingdom.¹ How these objectiveswill be achieved has been intensely debated and, aside from theissue of resources, the question of how to foster the evolutionof primary care in Britain remainsunresolved.

Despite differences in how the United Kingdom and the United States finance health care and in the equity in the distributionof resources, the challenges in delivery of primary care are similarin the two countries. This first article in the series focuseson the current organisation of primary care in the United States.Future articles will describe the US experience with performancemeasurement in primary care, referrals to specialists, . . . [Full text of this article]

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