The Primary Care Workforce Is Transitioning Away From a Physician-Dominated Model

In the late 1800s, large cities like London and New York used a great number of horses for transportation of people and goods.There were thousands of horses in these cities.This created major problems, not the least of which was the tremendous amount of manure left behind on the streets.Besides being unsightly and smelly, the manure also attracted huge quantities of flies which then spread typhoid fever and other diseases.In 1894, The Times newspaper in London predicted that in 50 years, every street in London would be buried under nine feet of manure.This became known as the

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Publication Details

Journal
Family Medicine
Published
2025-09-03
DOI
https://doi.org/10.22454/fammed.2025.348227
Primary Topic
Primary Care and Health Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

The Primary Care Workforce Is Transitioning Away From a Physician-Dominated Model

Arch G. Mainous
Family Medicine
Primary Care and Health Outcomes
article

The Primary Care Workforce Is Transitioning Away From a Physician-Dominated Model

Arch G. Mainous
article en

Abstract

In the late 1800s, large cities like London and New York used a great number of horses for transportation of people and goods.There were thousands of horses in these cities.This created major problems, not the least of which was the tremendous amount of manure left behind on the streets.Besides being unsightly and smelly, the manure also attracted huge quantities of flies which then spread typhoid fever and other diseases.In 1894, The Times newspaper in London predicted that in 50 years, every street in London would be buried under nine feet of manure.This became known as the

Family MedicineVol. 57(8)
University of Florida Health (US)
Openalex Percentile: Top 63%
Primary Care and Health Outcomes
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