Secondary Care

Services provided by medical specialists who generally do not have first contact with patients (e.g., cardiologist, urologists, dermatologists). In the U.S. , however, there has been a trend toward self-referral by patients for these services, rather than referral by primary care providers. This is quite different from the practice in England , for example, where all patients must first seek care from primary care providers and are then referred to secondary and/or tertiary providers, as needed.