Advertisement

Family Medicine pp 1785-1791 | Cite as

The Family Physician’s Role in a Changing Health Care System

Reference work entry

Abstract

Primary care is at a crossroads. Our current delivery systems are unsustainable and lack the resiliency to survive in new environments where total cost of care, patient experience, and patient-centered outcomes are the primary determinants of success. In order for primary care to remain relevant and viable, new solutions must be created and new roles must be defined that are practical and transformative. These new roles and solutions must provide clear value with highly satisfying services that both meet the needs of the patient and provide for population health. Family medicine also must consider the ways in which care coordination can be improved. This is especially important in managing populations and subpopulations of patients with multiple chronic conditions. The cost of care must come down and quality must remain high in order to be able to deliver affordable care.

Keywords

Primary Care Gross Domestic Product Family Physician Payment Model Accountable Care Organization 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Phillips Jr R, Bazemore A. Primary care and why it matter for the U.S. health system reform. Health Aff. 2010;29(5):806–10.CrossRefGoogle Scholar
  2. 2.
    Dawson B. Future provision of medical services: Lord Dawson on the consultative council’s report. Br Med J. 1920;1(3102):800–2.CrossRefGoogle Scholar
  3. 3.
    Howell J. Reflections on the past and future of primary care. Health Aff. 2010;29(5):760–5.CrossRefGoogle Scholar
  4. 4.
    Mullan, F. Big doctoring in America: profiles in primary care. University of California Press, California. 2002.Google Scholar
  5. 5.
    AAFP. Family medicine, scope and philosophical statement. 2011. http://www.aafp.org/about/policies/all/fm-scope.html
  6. 6.
    OECD (Organisation for Economic Co-operation and Development). Health statistics. 2014. http://www.oecd.org/unitedstates/Briefing-Note-UNITED-STATES-2014.pdf
  7. 7.
    Stephens J, Ledlow G. Real healthcare reform: focus on primary care access. Hosp Top. 2010;88(4):98–106.CrossRefPubMedGoogle Scholar
  8. 8.
    Kaiser Family Foundation. Trends in health care costs and spending. 2009. http://kff.org/insurance/upload/7692_02.pdf
  9. 9.
    Schoen C, et al. Access, affordability, and insurance complexity are often worse in the United States compared to ten other countries. Health Aff. 2013;32(12):2205–15.CrossRefGoogle Scholar
  10. 10.
    IHI (Institute for Healthcare Improvement). 2015. IHI triple aim initiative. http://www.ihi.org/Engage/Initiatives/TripleAim/pages/default.aspx
  11. 11.
    McClellan M, et al. Accountable care around the world: a framework to guide reform strategies. Health Aff. 2014;33(9):1507–15.CrossRefGoogle Scholar
  12. 12.
    Calman N, et al. Primary care and health reform. Mount Sinai J Med. 2012;79:527–34.CrossRefGoogle Scholar
  13. 13.
    The Advisory Board Company. What do consumers want from primary care? 10 insights from the primary care consumer choice survey. 2014. http://www.advisory.com/research/marketing-and-planning-leadership-council/expert-insights/2014/get-the-primary-care-consumer-choice-survey-results?WT.ac=Tagline_MPLC_EP___WhatDoConsumersWant
  14. 14.
    Grover A, Niecko-Najjum L. Primary care teams: are we there yet? Implications for workforce planning. Acad Med. 2013;88:1827–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of Family MedicineMayo Medical School, Mayo Clinic College of MedicineRochesterUSA

Personalised recommendations