Defining Primary Care: An Interim Report (1994)
Chapter: APPENDIX: CHARACTERISTICS OF PRIMARY CARE DESCRIBED IN THE FIRST IOM REPORT (IOM 1978)
Appendix
Characteristics of Primary Care Described in the First IOM Report (IOM 1978)
-
Accessibility of services includes availability (e.g., round-the-clock coverage, response to requests for urgent care) and attainability (e.g., physical, economic, psychological, and social aspects of services).
-
Comprehensiveness of services reflects the willingness and ability to handle the great majority of problems in the population served, including adults and children. It entails
-
Preventive services,
-
Care in a variety of settings (e.g., hospital, chronic care unit, or home),
-
Differentiation of primary care from specialty care, and
-
Differentiation of primary care from care provided by other professionals (e.g., optometrists, podiatrists, and dentists).
-
-
Coordination of services involves
-
Care given by other clinicians including specialists, and
-
The inclusion of patients and their families in decisions regarding plans of care, financial capabilities, and personal desires.
-
-
Continuity of services (a characteristic that cannot exist without the first three attributes listed above) involves record continuity and provider continuity.
There was a problem loading page 43.
There was a problem loading page 44.
There was a problem loading page 45.
