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primary care is not aways the best way to care for patients with chronic illness. There is too much information for doctors to keep up on all the current recommendations for certain problems. At Kaiser Permanente, nephrologists provide all care for people with chronic kidney disease, heart failure patients are followed by cardiologists and nurse practitioners and pts with diabetics are followed by diabetic nurse specialists.

Trying to get Primary care doctors to know all areas well can detract from care. We often see people with heart failure, for example,  being treated with inhalers by PCPs who are not used to chronic heart failure care and patients. 

posted 3 years, 6 months ago
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