Choosing a primary care provider

Alternative names

Definition

A primary care provider (PCP) is a general practitioner who sees people of all ages for common medical problems. This person is usually a doctor, but may be a physician's assistant or a nurse practitioner. Your PCP is often involved in your care for a long time, so it is important to select someone with whom you will work well.

Information

A PCP is your main healthcare provider in non-emergency situations. Your PCP's role is to:

• Provide preventive care and teach healthy lifestyle choices.
• Identify and treat common medical conditions.
• Make referrals to medical specialists when necessary.

Primary care is usually provided in an outpatient setting. However, if you are admitted to the hospital, your PCP may assist in or direct your care, depending on the circumstances.

Having a primary care provider can give you a trusting, ongoing relationship with one medical professional over time. You can choose from several different types of PCPs:

• General practitioners -- physicians who have completed an internship but not a residency.
• Family practitioners -- physicians who have completed a family practice residency and are board certified, or board eligible, for this specialty. The scope of their practice includes children and adults of all ages and may include obstetrics and minor surgery.
• Pediatricians -- physicians who have completed a pediatric residency and are board certified, or board eligible, in this specialty. The scope of their practice includes the care of newborns, infants, children, and adolescents.
• Internists -- physicians who have completed a residency in internal medicine and are board certified, or board eligible, in this specialty. The scope of their practice includes the care of adults of all ages for many different medical problems.
• Obstetricians/gynecologists -- physicians who have completed a residency and are board certified, or board eligible, in this specialty. They often serve as a PCP for women, particularly those of childbearing age.
• Nurse practitioners and physician's assistants -- practitioners who go through a different training and certification process than doctors. They are often referred to as "physician extenders." They may be your key contact in some practices. All PAs or NPs consult with physicians.

When choosing a PCP, also consider the following:

• Is the office staff friendly and helpful? Is the office good about returning calls?
• How easy is it to reach the provider? Does the provider use email?
• Do you prefer a provider whose communication style is friendly and warm, or more formal?
• Do you prefer a provider focused on disease treatment, or wellness and prevention?
• Does the provider have a conservative or aggressive approach to treatment?
• Does the provider order a lot of tests?
• Does he or she refer to other specialists frequently or infrequently?
• What do colleagues and patients think about the provider?
• Does the provider invite you to be involved in your care? Does he or she view your patient-doctor relationship as a true partnership?

You can get referrals from:

• Friends, neighbors, or relatives
• State-level medical associations, nursing associations, and associations for physician assistants
• Your dentist, pharmacist, optometrist, previous provider, or other health professional
• Advocacy groups -- especially to help you find the best provider for a specific chronic condition or disability

Another option is to request an appointment to "interview" a potential provider. There may be no cost to do this, or you may be charged a co-payment or other small fee. Some practices, particularly pediatric practice groups, may have an open house where you have an opportunity to meet several of the providers in that particular group.

Update Date: 12/8/2003