PHA-Exch> Redesigning Primary Care in the US

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) ruglucia at paho.org


 *Redesigning Primary Care

*

*Crisis and Change
N Engl J Med 2008;359:e24, November 13, 2008*



Website: http://content.nejm.org/topics/primary-care.shtml

"…In the United States, primary care is in crisis. The ranks of primary care
physicians are thinning, with many burning out and trainees shunning primary
care fields. The following articles examine the current state of primary
care in the U.S. and discuss potential solutions in the areas of training,
practice, compensation, and systemic change…."

* *

*Perspective Roundtable from the New England Journal of Medicine*

Video: http://www.nejm.org/perspective/primary-care-video/

PDF* *Transcript of Video <http://content.nejm.org/cgi/reprint/359/20/e24>at:
* *http://content.nejm.org/cgi/reprint/359/20/e24.pdf* *

"….. Primary care physicians must care for more and more patients, with more
and more chronic conditions, in less and less time, for which they are
compensated far less than subspecialists. They must absorb increasing
volumes of medical information and complete more paperwork than ever, as
they try to function in a poorly coordinated health care system.

As a result, their ranks are thinning, with practicing physicians burning
out and trainees shunning primary care fields.
In a roundtable discussion moderated by Dr. Thomas Lee, four experts in
primary care and related policy —
Drs. Thomas Bodenheimer, Allan Goroll, Barbara Starfield, and Katharine
Treadway — explore the crisis, as well as possible solutions for training,
practice, compensation, and systemic change…."



*THE FUTURE OF PRIMARY CARE*

The editors asked several experts to share their perspectives on the crisis
in U.S. primary care.
Their articles address the issue from six different angles:

*The Need for Reinvention<http://content.nejm.org/cgi/content/full/359/20/2085>
*
*T.H. Lee, network president for Partners Healthcare System and an associate
editor of the New England Journal of Medicine*

*Sustaining Relationships<http://content.nejm.org/cgi/content/full/359/20/2086>
*
*K. Treadway, *Harvard Medical School

*Transforming Practice<http://content.nejm.org/cgi/content/full/359/20/2086-a>
*
*T. Bodenheimer**, Center** **for Excellence in Primary Care at the
University of California, San Francisco.***

*Reforming Physician
Payment<http://content.nejm.org/cgi/content/full/359/20/2087>
*
*A.H. Goroll, *Harvard Medical School

*Refocusing the System<http://content.nejm.org/cgi/content/full/359/20/2087-a>
*
*B. Starfield, *Bloomberg School of Public Health at Johns Hopkins

*Lessons from the U.K.<http://content.nejm.org/cgi/content/full/359/20/2087-b>
*
*M. Roland, *director of the National Primary Care Research and Development
Centre, University of Manchester, UK



*Open for Comments November 12–26, 2008
*http://www.nejm.org/perspective/primary-care-video/?query=TOC
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