Skip to main content

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

  • Reference work entry
  • First Online:
Family Medicine
  • 185 Accesses


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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
USD 849.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others


  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.

    Article  Google Scholar 

  2. Dawson B. Future provision of medical services: Lord Dawson on the consultative council’s report. Br Med J. 1920;1(3102):800–2.

    Article  Google Scholar 

  3. Howell J. Reflections on the past and future of primary care. Health Aff. 2010;29(5):760–5.

    Article  Google Scholar 

  4. Mullan, F. Big doctoring in America: profiles in primary care. University of California Press, California. 2002.

    Google Scholar 

  5. AAFP. Family medicine, scope and philosophical statement. 2011.

  6. OECD (Organisation for Economic Co-operation and Development). Health statistics. 2014.

  7. Stephens J, Ledlow G. Real healthcare reform: focus on primary care access. Hosp Top. 2010;88(4):98–106.

    Article  PubMed  Google Scholar 

  8. Kaiser Family Foundation. Trends in health care costs and spending. 2009.

  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.

    Article  Google Scholar 

  10. IHI (Institute for Healthcare Improvement). 2015. IHI triple aim initiative.

  11. McClellan M, et al. Accountable care around the world: a framework to guide reform strategies. Health Aff. 2014;33(9):1507–15.

    Article  Google Scholar 

  12. Calman N, et al. Primary care and health reform. Mount Sinai J Med. 2012;79:527–34.

    Article  Google Scholar 

  13. The Advisory Board Company. What do consumers want from primary care? 10 insights from the primary care consumer choice survey. 2014.

  14. Grover A, Niecko-Najjum L. Primary care teams: are we there yet? Implications for workforce planning. Acad Med. 2013;88:1827–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Marc Matthews .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this entry

Cite this entry

Matthews, M., Allen, S.V. (2017). The Family Physician’s Role in a Changing Health Care System. In: Paulman, P., Taylor, R., Paulman, A., Nasir, L. (eds) Family Medicine. Springer, Cham.

Download citation

  • DOI:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-04413-2

  • Online ISBN: 978-3-319-04414-9

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics