{"id":"https://openalex.org/W2157608707","doi":"https://doi.org/10.1093/eurpub/12.1.51","title":"Primary care and genetic services: Health care in evolution","display_name":"Primary care and genetic services: Health care in evolution","publication_year":2002,"publication_date":"2002-03-01","ids":{"openalex":"https://openalex.org/W2157608707","doi":"https://doi.org/10.1093/eurpub/12.1.51","mag":"2157608707","pmid":"https://pubmed.ncbi.nlm.nih.gov/11968521"},"language":"en","primary_location":{"id":"doi:10.1093/eurpub/12.1.51","doi":"https://doi.org/10.1093/eurpub/12.1.51","is_oa":false,"landing_page_url":"https://doi.org/10.1093/eurpub/12.1.51","pdf_url":null,"source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European Journal of Public Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5045322011","display_name":"Barbara H. Starfield","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"B. Starfield","raw_affiliation_strings":["Johns Hopkins University, Baltimore, USA. bstarfie@jhsph.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins University, Baltimore, USA. bstarfie@jhsph.edu","institution_ids":["https://openalex.org/I145311948"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5045322011"],"corresponding_institution_ids":["https://openalex.org/I145311948"],"apc_list":{"value":2815,"currency":"EUR","value_usd":3181},"apc_paid":null,"fwci":4.4203,"has_fulltext":false,"cited_by_count":22,"citation_normalized_percentile":{"value":0.94500445,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"12","issue":"1","first_page":"51","last_page":"56"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.6304000020027161,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.6304000020027161,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11642","display_name":"Genomics and Rare Diseases","score":0.15189999341964722,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.07890000194311142,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.7620000243186951},{"id":"https://openalex.org/keywords/genetic-services","display_name":"genetic services","score":0.8109999895095825},{"id":"https://openalex.org/keywords/genetic-disorders","display_name":"genetic disorders","score":0.6200000047683716},{"id":"https://openalex.org/keywords/genetic-counseling","display_name":"genetic counseling","score":0.7689999938011169},{"id":"https://openalex.org/keywords/medical-genetics","display_name":"medical genetics","score":0.6309999823570251},{"id":"https://openalex.org/keywords/specialist-referral","display_name":"specialist referral","score":0.6859999895095825},{"id":"https://openalex.org/keywords/underdiagnosis","display_name":"underdiagnosis","score":0.6579999923706055},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.7630000114440918}],"concepts":[{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.6763153672218323},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.5308122634887695},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4174632728099823},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4080798029899597},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3756771981716156},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.36871621012687683},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.2561963200569153},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.19512048363685608},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.06291702389717102},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D005060","descriptor_name":"Europe","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D033142","descriptor_name":"Genetic Services","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1093/eurpub/12.1.51","doi":"https://doi.org/10.1093/eurpub/12.1.51","is_oa":false,"landing_page_url":"https://doi.org/10.1093/eurpub/12.1.51","pdf_url":null,"source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European Journal of Public Health","raw_type":"journal-article"},{"id":"pmid:11968521","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/11968521","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European journal of public health","raw_type":"Journal Article"},{"id":"pmh:oai:pure.atira.dk:openaire_cris_publications/584fdf68-05d6-482d-9a87-09aba5c4a597","doi":null,"is_oa":false,"landing_page_url":"https://research.manchester.ac.uk/en/publications/584fdf68-05d6-482d-9a87-09aba5c4a597","pdf_url":null,"source":{"id":"https://openalex.org/S4306400662","display_name":"Research Explorer (The University of Manchester)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I28407311","host_organization_name":"University of Manchester","host_organization_lineage":["https://openalex.org/I28407311"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Starfield, B, Holtzman, N A, Roland, M O, Sibbald, B, Harris, R & Harris, H 2002, 'Primary care and genetic services: Health care in evolution', European Journal of Public Health, vol. 12, no. 1, pp. 51-56. https://doi.org/10.1093/eurpub/12.1.51","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.8048999905586243,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1162733922","display_name":null,"funder_award_id":"6 U30 CS00189-05 S1 R1","funder_id":"https://openalex.org/F4320332505","funder_display_name":"U.S. Public Health Service"}],"funders":[{"id":"https://openalex.org/F4320332505","display_name":"U.S. Public Health Service","ror":"https://ror.org/05xf94514"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W604955251","https://openalex.org/W640553068","https://openalex.org/W1481693728","https://openalex.org/W1965417958","https://openalex.org/W1965421709","https://openalex.org/W1966306892","https://openalex.org/W1993291384","https://openalex.org/W2002649475","https://openalex.org/W2010244622","https://openalex.org/W2010404222","https://openalex.org/W2011563044","https://openalex.org/W2012014972","https://openalex.org/W2016677237","https://openalex.org/W2027020403","https://openalex.org/W2046809735","https://openalex.org/W2049480192","https://openalex.org/W2051427670","https://openalex.org/W2054905082","https://openalex.org/W2082466633","https://openalex.org/W2100159037","https://openalex.org/W2106063336","https://openalex.org/W2121245276","https://openalex.org/W2127547685","https://openalex.org/W2136370715","https://openalex.org/W2157954662","https://openalex.org/W2402979022","https://openalex.org/W2425899705","https://openalex.org/W4242002782"],"related_works":["https://openalex.org/W63951445","https://openalex.org/W2106063336","https://openalex.org/W255512893","https://openalex.org/W2158112485","https://openalex.org/W2000366187","https://openalex.org/W4404642750","https://openalex.org/W2027020403","https://openalex.org/W2952729484","https://openalex.org/W4221035462","https://openalex.org/W1859456838"],"abstract_inverted_index":{"The":[0],"demand":[1,91],"for":[2,4,84,92,97,128],"services":[3,26,94],"predicting,":[5],"diagnosing,":[6],"and":[7,30,53,72,75,109,122],"managing":[8],"genetic":[9,15,31,46,67,112,141],"diseases":[10,12],"or":[11],"with":[13,130],"a":[14,105],"component":[16],"is":[17],"likely":[18],"to":[19,42,50,57,64],"increase":[20],"faster":[21],"than":[22],"the":[23,81,90],"availability":[24],"of":[25,107,111],"from":[27],"medical":[28],"geneticists":[29],"counselors.":[32],"Health":[33],"care":[34],"systems":[35,79,102],"may":[36,103],"also":[37],"impose":[38],"limitations":[39],"on":[40],"referrals":[41,55],"these":[43,131],"specialists.":[44],"If":[45],"problems":[47,68,113],"are":[48,56,116,133],"not":[49,95,117],"be":[51,58,70],"missed":[52],"excessive":[54],"avoided,":[59],"non-geneticist":[60],"practitioners":[61,115],"will":[62],"have":[63],"recognize":[65],"when":[66],"should":[69],"considered,":[71],"initiate":[73],"diagnosis":[74],"even":[76],"management.":[77],"Primary-care-centred":[78],"offer":[80],"greatest":[82],"potential":[83],"maximizing":[85],"overall":[86],"cost-effectiveness,":[87],"by":[88,120],"reducing":[89],"specialty":[93],"essential":[96],"improving":[98],"health.":[99],"But":[100],"primary-care-centred":[101],"pose":[104],"risk":[106],"underdetection":[108],"undermanagement":[110],"if":[114],"actively":[118],"supported":[119],"information":[121],"other":[123],"educational":[124],"networks.":[125],"Several":[126],"models":[127],"dealing":[129],"challenges":[132],"presented,":[134],"including":[135],"algorithms":[136],"that":[137],"aid":[138],"in":[139],"recognizing":[140],"problems.":[142]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}