THE ROLE OF PRIMARY CARE PHYSICIAN IN CHRONIC DISEASES

In this article, we describe an evidence-based stepped care approach to improving the care of chronic illness in organized health care systems. A primary care physician’s goal is to deliver the care that’s right for patient not employ a one-size-fits-all approach. Tailored health care is easier when patient has meaningful relationship with his/her healthcare physician. A primary health care physician is responsible for screening all major health-related conditions. If patient already has a chronic condition, patient’s primary helps manage it and improve the quality of life. Primary health care physicians are part of an expert team that can meet patient’s exact needs. These teams are commonly comprised of physicians, nurse practitioners, physician assistants, registered nurses, patient access staff and patient care associates. Contributing unique perspectives, the team approach provides patients with well-rounded health care. We review the common principles that have been found to improve the management and outcomes of patients with major depression, asthma, diabetes, and congestive heart failure. These population-based methods to improve care of chronic illness require reorganizing the roles of specialists and primary care physicians. Keywords: Chronic Diseases; Role of Primary Care Physicians