Journal of General Internal Medicine

, Volume 20, Issue 10, pp 953–957 | Cite as

A 2020 vision of patient-centered primary care

  • Karen Davis
  • Stephen C. Schoenbaum
  • Anne-Marie Audet
Health Policy


Patient-centered care has received new prominence with its inclusion by the Institute of Medicine as 1 of the 6 aims of quality. Seven attributes of patient-centered primary care are proposed here to improve this dimension of care: access to care, patient engagement in care, information systems, care coordination, integrated and comprehensive team care, patient-centered care surveys, and publicly available information. The Commonwealth Fund 2003 National Survey of Physicians and Quality of Care finds that one fourth of primary care physicians currently incorporate these various patient-centered attributes in their practices. To bring about marked improvement will require a new system of primary care payment that blends monthly patient panel fees with traditional fee-for-service payment, and new incentives for patient-centered care performance. A major effort to test this concept, develop a business case, provide technical assistance and training, and diffuse best practices is needed to transform American health care.

Key Words

patient-centered care primary care quality of care 


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Copyright information

© Society of General Internal Medicine 2005

Authors and Affiliations

  • Karen Davis
    • 1
  • Stephen C. Schoenbaum
    • 1
  • Anne-Marie Audet
    • 1
  1. 1.The Commonwealth FundNew York

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