Does a Residents’ Continuity Clinic Provide Primary Care?

Hugh D. Allen, Fredric Burg, Harold Levine, Barbara Starfield, Larrie W. Greenberg, Modena E.H. Wilson, Jonathan P. Weiner, Joan C. Bender, Steven K. Bergstrom, Barbara H. Starfield

Research output: Contribution to journalArticle

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” 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.

Original languageEnglish (US)
Pages (from-to)809-812
Number of pages4
JournalAmerican Journal of Diseases of Children
Volume143
Issue number7
DOIs
StatePublished - Jul 1989

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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