Managing Primary Care in the United States and in the United Kingdom

The United States is in the process of rediscovering primary care. Primary care is being promoted as an antidote to excessive health care costs and inadequate access to health services. However, primary care physicians in the United States are perceived to be in short supply, and their number is dwindling1,2. Only one third of the active physicians in the United States are family physicians, general internists, or general pediatricians, as compared with more than half of those in Canada and Western Europe3. The crisis in American health care has led to interest in other national health systems, . . .