• J Gen Intern Med · Feb 2021

    Review

    Designed to Fail? the Future of Primary Care.

    • Laurence F McMahon, Kim Rize, NiJuanna Irby-Johnson, and Vineet Chopra.
    • Division of General Medicine, University of Michigan Health System, Ann Arbor, MI, USA. lmcmahon@umich.edu.
    • J Gen Intern Med. 2021 Feb 1; 36 (2): 515-517.

    AbstractPrimary care is widely viewed as being in crisis despite its purported central role in addressing population issues related to healthcare cost, quality, access, and equity. Despite this pivotal role, the nature of the clinical practice today has largely emerged by default. We review the evolution of clinical practice in primary care from its genesis in small practices with paper charts and telephonic patient communication to managed care, pay-for-performance, and today's era of the electronic medical record, value-based payment, and consumerism. We suggest a necessary "reset" of expectations that focuses on today's practice structure and the historic face-to-face patient care expectations. Only by doing so can we successfully meet the demands of patients, society, and practicing internists.

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