US health reforms offer chance for primary care and public health to integrate, says report

BMJ 2012; 344 doi: (Published 02 April 2012) Cite this as: BMJ 2012;344:e2467
  1. Bob Roehr
  1. 1Washington, DC

Federal agencies should take steps to help bridge the longstanding gap between public health and primary care in the United States, says a new report from the Institute of Medicine. It suggests that the changing nature of health concerns and the evolving reimbursement environment under the government’s health reforms offer new opportunities for better integration of the two specialties.

“Research increasingly is giving us insights into how to actually intervene in a meaningful way,” said Paul Wallace, chairman of the committee that wrote the report. “It is demonstrating that it is a team sport . . . for chronic disease.”

The report ( was shaped by concerns of the two agencies within …

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