Journal of General Internal Medicine

, Volume 29, Issue 6, pp 911–914

Optimizing Health for Complex Adults in Primary Care: Current Challenges and a Way Forward

  • Hollis Day
  • Elizabeth Eckstrom
  • Sei Lee
  • Heidi Wald
  • Steven Counsell
  • Eugene Rich
Perspective

DOI: 10.1007/s11606-013-2749-x

Cite this article as:
Day, H., Eckstrom, E., Lee, S. et al. J GEN INTERN MED (2014) 29: 911. doi:10.1007/s11606-013-2749-x

ABSTRACT

As the population ages, the quantity and complexity of comorbidities only increases in the primary care setting. Health systems strive to improve quality of care and enhance cost savings, but current administrative and payment systems do not easily support the implementation of existing evidence and best practices for multimorbid adults in most primary care offices. This perspectives piece sets forth a research agenda in the area of implementation science at the intersection of geriatrics and general internal medicine. We challenge academic medical centers, medical societies, journals, and funders to actively value and support investigation in this area as much as traditional research pathways.

KEY WORDS

implementation research geriatrics primary care 

Copyright information

© Society of General Internal Medicine 2014

Authors and Affiliations

  • Hollis Day
    • 1
  • Elizabeth Eckstrom
    • 2
  • Sei Lee
    • 3
  • Heidi Wald
    • 4
  • Steven Counsell
    • 5
  • Eugene Rich
    • 6
  1. 1.Division of General Internal MedicineUniversity of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Division of General Internal Medicine & GeriatricsOregon Health & Science UniversityPortlandUSA
  3. 3.Division of GeriatricsUniversity of California San FranciscoSan FranciscoUSA
  4. 4.Division of Health Care Policy and ResearchUniversity of ColoradoBoulderUSA
  5. 5.Division of General Internal Medicine and GeriatricsIndiana University School of MedicineIndianapolisUSA
  6. 6.Mathematica Policy ResearchWashingtonUSA

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