primary care is largely delivered through a network of some community clinics which include those with beds rather than having a dedicated workforce with specialist training in the functions described above however primary care in japan is typically delivered by a cadre of semigeneralistsemispecialists that is physicians who leave hospital practice after an unspecified amount of time to set up as generalists with no compulsory further training in the community likewise rather than having a distinct primary care estate primary care may be delivered in a department in a hospital and patients who come to clinics with beds or hospitals with primary care department can stay for inpatient care if needed