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Primary care: current problems and proposed solutions
Thomas Bodenheimer1, Hoangmai H Pham
1Center for Excellence in Primary Care, University of California, San Francisco, CA, USA. tbodenheimer@fcm.ucsf.edu
Abstract:
In 2005, approximately 400,000 people provided primary medical care in the United States. About 300,000 were physicians, and another 100,000 were nurse practitioners and physician assistants. Yet primary care faces a growing crisis, in part because increasing numbers of U.S. medical graduates are avoiding careers in adult primary care. Sixty-five million Americans live in what are officially deemed primary care shortage areas, and adults throughout the United States face difficulty obtaining prompt access to primary care. A variety of strategies are being tried to improve primary care access, even without a large increase in the primary care workforce.
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