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Primary care medicine is the new frontier in medicine. Every nation
in the world has recognized the necessity to deliver personal and
primary care to its people. This includes first-contact care, care
based in a posi tive and caring personal relationship, care by a
single healthcare pro vider for the majority of the patient's
problems, coordination of all care by the patient's personal
provider, advocacy for the patient by the pro vider, the provision
of preventive care and psychosocial care, as well as care for
episodes of acute and chronic illness. These facets of care work
most effectively when they are embedded in a coherent integrated
approach. The support for primary care derives from several
significant trends. First, technologically based care costs have
rocketed beyond reason or availability, occurring in the face of
exploding populations and diminish ing real resources in many parts
of the world, even in the wealthier nations. Simultaneously, the
primary care disciplines-general internal medicine and pediatrics
and family medicine-have matured significantly."
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