| Role of primary care physicians | Role of subspecialists | Role of family physicians |
---|---|---|---|
Location | • Community based | • University based practice | • Solo practice in neighborhood setting • Private practice in the community • Cannot be properly practiced in hospital setting |
Scope | • Primary consultation before seeing specialists • Focus on care, not cure • Common disease, easy to treat • Psychosocial concerns • Long term care | • Temporary care • Focused on specific body part, not whole • Complex disease treated with difficult procedures | • First contact in coordinated patient care • Long term care of patients and their diseases • Home visits • Continuity of care • Psychosocial skills • Mental care provision • Home doctor • Focus on prevention |
Patient relationship | • Good doctor-patient relationship • Treat the whole body | • Focus on cure, not care • Treat disease, not person • Evidence based | • Patient oriented medicine • Sees patient as a whole • Care about whole family |
Expertise | • Broad knowledge • Home visits are important • Care for entire family • Focus on prevention, triage, and medical interviews | • Expert knowledge • Many specialists also provide primary care services • Surgeons are expert specialists | • Broad knowledge • Home care • Care for entire family • Prevention of disease in the community |