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A 2020 vision of patient-centered primary care

Journal of General Internal Medicine volume 20, pages 953–957 (2005)Cite this article

Abstract

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.

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Affiliations

  1. The Commonwealth Fund, 1 East 75th St., 10021, New York, NY

    Karen Davis PhD, Stephen C. Schoenbaum MD & Anne-Marie Audet MD

Authors
  1. Karen Davis PhD
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  2. Stephen C. Schoenbaum MD
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  3. Anne-Marie Audet MD
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Corresponding author

Correspondence to Karen Davis PhD.

Additional information

This paper draws on the Malcolm Peterson Honor Lecture given by Karen Davis at the 27th Annual Meeting of the Society of General Internal Medicine, Chicago, May 14, 2004.

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Davis, K., Schoenbaum, S.C. & Audet, AM. A 2020 vision of patient-centered primary care. J GEN INTERN MED 20, 953–957 (2005). https://doi.org/10.1111/j.1525-1497.2005.0178.x

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  • DOI: https://doi.org/10.1111/j.1525-1497.2005.0178.x

Key Words

  • patient-centered care
  • primary care
  • quality of care