What is a primary care provider?
A primary care provider (PCP) is your main source for
general medical care. When you need a specialist, such as a
surgeon, urologist, or psychiatrist, your PCP may refer you
to one. Many specialists will not accept patients unless
they are referred by a PCP. Insurance companies may not pay
for a specialist's care without a referral from a PCP.
Choosing the right PCP for you is a decision that will
affect you and your family for quite a while. This person
will:
- Provide preventive care such as physical exams, blood
tests, and vaccinations.
- Teach healthy lifestyle choices.
- Diagnose and treat common medical problems.
- Refer you to medical specialists when necessary.
Many health care providers complete a residency (typically 3
or more years of training after medical school) in a
specialty such as family practice. The main types of primary
care providers are:
- Family practitioners. (Most family practice physicians
care for patients of all ages.)
- General practitioners. (These doctors have completed an
internship but not a residency. An internship is the
first year of training after medical school. They see
patients of all ages.)
- Internists. (These doctors see adults.)
- Pediatricians. (These doctors see children and teens.)
- Geriatricians. (These doctors see older adults.)
- Obstetrician/gynecologists. (These doctors see women
only.)
- Nurse practitioners and physician assistants. (They
have different preparation and licensing than doctors and
may specialize in children, adults, older adults, or
women.)
Physicians may have either an MD or a DO degree. MDs
usually do their residencies in a teaching hospital. DOs
may do their residencies in local hospitals or doctor's
offices. The main difference is that Doctors of Osteopathy
(DO) are trained in hands-on manipulation to treat joints,
muscles, and bones. Both DOs and MDs take the same
licensing exams to become licensed to practice medicine.
How do I start my search?
If you belong to a health plan, your choice of health care
providers may be limited to providers that are included in
the plan. Check the plan's list of primary care providers.
Ask for referrals from friends, coworkers, or pharmacists.
If you are moving, ask your current provider to recommend
someone in your new location. Local medical societies
usually have a referral service and will give you names
based on your location or the type of provider you need.
Some hospitals may give you names of providers to consider.
What should I check?
Check on the provider's credentials. Board-certified
primary care physicians have received additional training
(up to 7 years) beyond an internship in a medical specialty.
They have also passed a national board exam. Physician
assistants and nurse practitioners may also be certified by
passing a national exam and completing certain education
requirements. Check on certification by calling the local
medical society or state board of nursing. The state's
medical licensing board can tell you if a provider's license
is current or if it has expired.
Look for a provider in a convenient location. Your PCP
should be fairly close to home or work. Contact the
provider's office and ask if they are accepting new
patients. Ask about office hours and appointments, payment
policy, and insurance coverage. Schedule an interview to
meet and get to know the provider. This will give a clear
idea of the provider's approach. While at the office,
notice how the office looks and how patients are greeted.
Expect courtesy, respect, dignity, and responsiveness. Be
prepared to discuss your special needs and to pay for this
office visit.
What questions should I ask?
Ask questions such as:
- Which insurance plans do you accept?
- At which hospitals do you have staff privileges and admit
patients?
- Do you practice alone, or are you part of a group?
- Who provides care for your patients after hours or when
you are out of the office?
After your visit, ask yourself:
- Was I treated courteously?
- Were all of my questions answered?
- Did I feel rushed or dismissed?
Do not be tempted to make a quick decision. Make the choice
when you are healthy, not sick.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File GEN4405F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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