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What Is the Right Mix?

Arch Pediatr Adolesc Med. 2003;157:219-220.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

THE VERY TITLE of the article by Forrest et al¹ in this issue of the Archives, "Referral of Children to Specialists in the United States and the United Kingdom," reminds us of the historical change in the role of US pediatricians. A few decades ago, pediatricians in the United States (US) were the "specialists" in the care of children. Now, most US pediatricians are primary care generalists who refer patients to pediatric subspecialists. In contrast, pediatricians in the United Kingdom (UK) have remained specialists, and primary child health care is still the province of general practitioners.

A world divided into specialists and generalists begs the question, what is the right mix of primary care and specialty care? The debate in the adult arena is fueled by evidence that increasing numbers of specialists dramatically increase costs, primarily through inappropriate use of expensive procedures.² But there is little evidence that specialists induce . . . [Full Text of this Article]

RELATED ARTICLE

Referral of Children to Specialists in the United States and the United Kingdom
Christopher B. Forrest, Azeem Majeed, Jonathan P. Weiner, Kevin Carroll, and Andrew B. Bindman
Arch Pediatr Adolesc Med. 2003;157(3):279-285.
ABSTRACT | FULL TEXT  

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Pediatric Referral Patterns
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Arch Pediatr Adolesc Med 2003;157:1033-1033.
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