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Related Experiment Videos

Does a residents' continuity clinic provide primary care?

M E Wilson1, J P Weiner, J C Bender

  • 1Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md.

American Journal of Diseases of Children (1960)
|July 1, 1989
PubMed
Summary

Hospital outpatient clinics can offer valuable primary care experiences for pediatric residents. The Johns Hopkins Primary Care Clinic demonstrated superior principal care provision compared to private practices and walk-in clinics.

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Area of Science:

  • Medical Education
  • Primary Care Pediatrics
  • Healthcare Quality

Background:

  • Pediatric residency programs require continuity experiences for trainees.
  • Continuity clinics, often hospital-based outpatient departments, may vary in their primary care delivery.
  • Assessing the primary care capacity of these training sites is crucial.

Purpose of the Study:

  • To evaluate the primary care services provided by The Johns Hopkins Hospital's Primary Care Clinic.
  • To compare the clinic's primary care performance against local private pediatric practices and a walk-in clinic.

Main Methods:

  • A primary care measure was applied to assess the "principal care" component of encounters.
  • Data were collected from The Johns Hopkins Primary Care Clinic, private pediatric practices, and a walk-in clinic.

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  • A primary care index was used to quantify the facility's role as a patient's primary care source.

    • Main Results:

    • The Johns Hopkins Primary Care Clinic provided "principal care" in 93% of encounters, exceeding private practices (84.5%) and a walk-in clinic (51%).
    • The clinic achieved a higher score on the primary care index, indicating a stronger role as a primary care source.
    • These findings suggest hospital-based clinics can effectively facilitate primary care training.

    Conclusions:

    • Hospital-based continuity clinics can successfully provide comprehensive primary care for pediatric patients.
    • This model offers pediatric residents robust training opportunities in primary care delivery.
    • Continuity clinics are vital for ensuring residents develop essential primary care competencies.