Adjunto el link y las conclusiones de un estudio realizado por Jose M. Valderas, Barbara Starfield, Christopher B. Forrest, Bonnie Sibbald, y Martin Roland, publicado en el  último número de la revista de «Annals of family Medicine».

Ambulatory Care Provided by Office-Based Specialists in the United States

In the United States, nearly one-half of patient visits to specialists are for routine and preventive services that might be provided in primary care.


Ambulatory offi ce-based activity of specialists includes a large share of routine and preventive care for patients already known, not referred, to

the physician. It is likely that many of these services could be managed in primary care settings, lessening demand for specialists and improving coordination of care.