Primary care for persons with disabilities. The Boston, Massachusetts model program.
Boston's Community Medical Group (BCMG) was among the first primary care group practices to provide community-based continuous primary care to people with major disabling conditions, the first to rely on nurse-practitioners as primary care-givers, and one of the first to provide care on a prepaid capitated basis. With more than one thousand person-years' experience, BCMG has demonstrated that it is ethically and operationally feasible (1) to provide prepaid managed care to people with major disabling conditions; (2) to share financial risk for that care with providers; (3) to reinforce principles of independent living and consumer autonomy; (4) to assure high-quality clinical outcomes at reasonable costs.
Meyers
A R
AR
School of Public Health, Boston University School of Medicine, Massachusetts 02118-2394, USA.
Glover
M
M
Master
R J
RJ
D001900:Boston; D006233:Persons with Disabilities; D006279:Health Maintenance Organizations / Q000191:economics / Q000458:organization & administration*; D009722:Nurse Practitioners / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000458:organization & administration*