[EQ] Redesigning Primary Care

Redesigning Primary Care

Crisis and Change
N Engl J Med 2008;359:e24, November 13, 2008

 

Website: http://content.nejm.org/topics/primary-care.shtml

“…In the United States, primary care is in crisis. The ranks of primary care physicians are thinning, with many burning out and trainees shunning primary care fields. The following articles examine the current state of primary care in the U.S. and discuss potential solutions in the areas of training, practice, compensation, and systemic change….”

 

Perspective Roundtable from the New England Journal of Medicine

Video: http://www.nejm.org/perspective/primary-care-video/

PDF Transcript of Video at: http://content.nejm.org/cgi/reprint/359/20/e24.pdf

“….. Primary care physicians must care for more and more patients, with more and more chronic conditions, in less and less time, for which they are compensated far less than subspecialists. They must absorb increasing volumes of medical information and complete more paperwork than ever, as they try to function in a poorly coordinated health care system.

As a result, their ranks are thinning, with practicing physicians burning out and trainees shunning primary care fields.
In a roundtable discussion moderated by Dr. Thomas Lee, four experts in primary care and related policy —
Drs. Thomas Bodenheimer, Allan Goroll, Barbara Starfield, and Katharine Treadway — explore the crisis, as well as possible solutions for training, practice, compensation, and systemic change….”

 

THE FUTURE OF PRIMARY CARE

The editors asked several experts to share their perspectives on the crisis in U.S. primary care.
Their articles address the issue from six different angles:

The Need for Reinvention
T.H. Lee, network president for Partners Healthcare System and an associate editor of the New England Journal of Medicine

Sustaining Relationships
K. Treadway, Harvard Medical School

Transforming Practice
T. Bodenheimer, Center for Excellence in Primary Care at the University of California, San Francisco.

Reforming Physician Payment
A.H. Goroll, Harvard Medical School

Refocusing the System
B. Starfield, Bloomberg School of Public Health at Johns Hopkins

Lessons from the U.K.
M. Roland, director of the National Primary Care Research and Development Centre, University of Manchester, UK

 

Open for Comments November 12–26, 2008
http://www.nejm.org/perspective/primary-care-video/?query=TOC

 

 

 

 

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