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© 1976 Oxford University Press

research-article

Problems and New Directions in the Evaluation of Primary Care

IAN McDOWELL and CARLOS J.M. MARTINI

Department of Community Health, Medical School, University of Nottingham Nottingham NG7 2RD,England.

Reprint requests should be addressed to Dr. I. McDowell

McDowell, I. (Department of Community Health, Medical School, University of Nottingham, England) and Martini, C. J. M. Problems and new directions in the evaluation of primary care. International Journal of Epidemiology 1976, 5: 247–250.

The nature of many contacts between patients and first-contact doctors (e.g. general practitioners) is such that the traditional morbidity and mortality indices of outcome are inadequate for evaluating the care provided. Preliminary results of a study developing a more appropriate index of the outcome of primary care, expressed in terms of the patient's functional abilities, are discussed. Beyond its use in evaluating the social and psychological components of care, the method may be applicable in population health surveys and in estimating the need for care.


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