Seletive mutism and co-morbidity with dysmorphism

ABSTRACT

The relationship between primary and secondary care is not dichotomous. It's an extended spectrum relation, with no start and accordingly it never ends. Both settings contribute uniquely to the integrated delivery of health care. The type of interface, therefore, should not be colliding and the conflict seen in some health care settings are really arbitrary and artificial. Nevertheless, different health systems around the world through history have experienced an everlasting conflicts and controversies. Ways to recover and repair the gap have been going ever since. The vital role of primary care cannot be ignored or overlooked; it has become an integral part of all medical disciplines. Thus it is crucial to develop an understanding between primary and secondary care. This paper outlines the causes of conflicts between the two disciplines and the probable ways for resolution