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Primary care in the United States: problems and possibilities

Robert L. Phillips, Jr., MD, MSPH

The United States has never had a more robust primary care workforce, but dysfunctional financing schemes and inability to compete for the hearts and minds of the next generation of young doctors threaten its future. Many of the problems are a direct result of the market approach to health care. Innovation is needed in how primary care functions are financed, protected, organised, and taught in order to identify options for a stable and robust health system built on primary care.

 Phillips RL. Primary care in the United States: problems and possiblities. BMJ 2005;331:1400-1402.

December 2005