Primary Medical Care Evaluation

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Abstract
A study design to compare and evaluate different systems of primary medical care delivery in the United States was devised. The concept of an "indicator case" (common in all systems of primary care) was used as a convenient way to sample and evaluate medical care delivery. Eight criteria, including both "cure" and "care" aspects, were used to measure and compare different primary care systems. Data were collected by a trained group of nurse-interviewers and very little of the physician's time was required. A unique aspect of this study is that it was conceived and worked out in detail over a five-year period cooperatively by a group of practicing physicians representing the American Academy of Family Physicians and experienced medical researchers from the School of Public Health of the University of North Carolina. (JAMA230:1668-1673, 1974)

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