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Does a Residents' Continuity Clinic Provide Primary Care?
Hugh D. Allen, MD;
Fredric Burg, MD;
Harold Levine, MPA;
Barbara Starfield, MD;
Larrie W. Greenberg, MD;
Modena E. H. Wilson, MD, MS, MPH;
Jonathan P. Weiner, DrPH;
Joan C. Bender, MD;
Steven K. Bergstrom, MD;
Barbara H. Starfield, MD, MPH
Am J Dis Child. 1989;143(7):809-812.
Abstract
• Pediatric residents are required to care for a group of children over a period of time. For many, this "continuity" experience is in a hospital outpatient department that may or may not provide primary care. We applied a measure of primary care to the Primary Care Clinic, the continuity clinic at The Johns Hopkins Hospital, Baltimore, Md, and found that it compared favorably with private pediatric practices in the Baltimore area, providing significantly more "principal care" (93% vs 84.5% of encounters), and to the Harriet Lane Home walk-in clinic, where only 51% of encounters were "principal care." The Primary Care Clinic scored higher on a primary care index, a measure of the extent to which the facility serves as a primary care source for patients, suggesting that hospital-based training can provide residents with an opportunity to provide primary care.
(AJDC. 1989;143:809-812)
Author Affiliations
Columbus, Ohio; Philadelphia, Pa; Galveston, Tex; Baltimore, Md; Washington, DC
From the Department of Pediatrics, The Johns Hopkins School of Medicine (Dr Wilson), and the Department of Health Policy and Management, The Johns Hopkins School of Hygiene and Public Health (Drs Weiner and Starfield), Baltimore, Md; the Department of Pediatrics, University of Missouri, Kansas City (Dr Bender); and the Department of Pediatrics, Stanford (Calif) University (Dr Bergstrom).
Footnotes
Accepted for publication December 27, 1988.
Presented in part at the 24th Annual Meeting of the Ambulatory Pediatric Association, San Francisco, Calif, May 2, 1984.
Reprints not available.
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