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Knowledge, patterns of care, and outcomes of care for generalists and specialists

Journal of General Internal MedicinePublished 1 August 1999Open access
Leslie R. Harrold, Terry S. Field, Jerry H. Gurwitz
Citations241
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TL;DR

There is evidence in the literature suggesting differences between specialists and generalists in terms of knowledge, patterns of care, and clinical outcomes of care for a broad range of diseases.

Abstract

There is evidence in the literature suggesting differences between specialists and generalists in terms of knowledge, patterns of care, and clinical outcomes of care for a broad range of diseases. In published studies, specialists were generally more knowledgeable about their area of expertise and quicker to adopt new and effective treatments than generalists. More research is needed to examine whether these patterns of care translate into superior outcomes for patients. Further work is also needed to delineate the components of care for which generalists and specialists should be responsible, in order to provide the highest quality of care to patients while most effectively utilizing existing physician manpower.

Keywords

Health ProfessionsEconomics, Econometrics and FinanceBusiness, Management and Accounting