Role of specialty care for chronic disease: A report from an ad hoc committee of the American College of Rheumatology

S. E. Gabriel

Research output: Contribution to journalArticle

13 Scopus citations


An ad hoc committee of health-services researchers and clinicians of the American College of Rheumatology observed that the rush to capitated, integrated health-care systems has assumed that systems should be built around primary care and gatekeeping to specialty consultation. This assumption is untested. For persons with chronic rheumatic and musculoskeletal diseases, the evidence suggests that outcomes, coordination, and patient satisfactions are superior when specialists have a central role. The same situation may be true for patients with other chronic diseases.

Original languageEnglish (US)
Pages (from-to)1179-1181
Number of pages3
JournalMayo Clinic Proceedings
Issue number12
StatePublished - 1996


ASJC Scopus subject areas

  • Medicine(all)

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