KevinMD December 20, 2022
An excerpt from Patients in Peril: The Demise of Primary Care in America.
The last 100 years have seen an astonishing drop in the percentage of American physicians who practiced primary care. In the early 1930s, 87% of private practice physicians were in general care; by the early 1960s, this percentage had dropped to 50%. Starting in 1960, increases in specialists began to outpace increases in primary care. The number of primary care doctors as a proportion of the whole dropped further in subsequent years.
Unlike in many other countries, patients wanting to see specialists did not, at least until the last few decades, have to be referred by their primary care doctor. Specialists might have cared more about the...
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