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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 10/2010

01-10-2010 | Editorials

Primary Care and the US Health Care System: What Needs to Change?

Author: David W. Bates, MD, MSc

Published in: Journal of General Internal Medicine | Issue 10/2010

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Excerpt

Health care in the United States is the world’s most expensive, yet America’s health outcomes are nothing to brag about.1 For example, in a study by Nolte and McKee, the US had the highest rate of deaths amenable to health care per 100,000 population of 19 countries studied, with a rate not quite twice that of France, even though France spends roughly half of what the US does on health care2. How could we possibly get so little for so much? …
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Nolte E, McKee CM. Measuring the health of nations: updating an earlier analysis. Health Aff (Millwood). 2008;27(1):58–71.CrossRef
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Starfield B, Shi L. Policy relevant determinants of health: an international perspective. Health Policy. 2002;60(3):201–218.CrossRefPubMed
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Sandy LG, Bodenheimer T, Pawlson LG, Starfield B. The political economy of US primary care. Health Aff (Millwood). 2009;28(4):1136–1145.CrossRef
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Starfield B, Shi L, Grover A, Macinko J. The effects of specialist supply on populations' health: assessing the evidence. Health Aff (Millwood). 2005; Suppl Web Exclusives:W5.
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Patient Protection and Affordable Care Act. H.R. 3950. 3-23-2010.
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Jeffe DB, Whelan AJ, Andriole DA. Primary care specialty choices of United States medical graduates, 1997-2006. Acad Med. 2010;85(6):947–958.CrossRefPubMed
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Bylsma WH, Arnold GK, Fortna GS, Lipner RS. Where have all the general internists gone? J Gen Intern Med. 2010.
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Goodson JD. Patient Protection and Affordable Care Act: promise and peril for primary care. Ann Intern Med. 2010;152(11):742–4.PubMed
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Goroll AH, Berenson RA, Schoenbaum SC, Gardner LB. Fundamental reform of payment for adult primary care: comprehensive payment for comprehensive care. J Gen Intern Med. 2007;22(3):410–15.CrossRefPubMed
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Steiner BD, Denham AC, Ashkin E, Newton WP, Wroth T, Dobson LA Jr. Community care of North Carolina: improving care through community health networks. Ann Fam Med. 2008;6(4):361–7.CrossRefPubMed
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Paulus RA, Davis K, Steele GD. Continuous innovation in health care: implications of the Geisinger experience. Health Aff (Millwood). 2008;27(5):1235–1245.CrossRef
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Milstein A, Gilbertson E. American medical home runs. Health Aff (Millwood). 2009;28(5):1317–1326.CrossRef
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Reid RJ, Fishman PA, Yu O, Ross TR, Tufano JT, Soman MP, et al. Patient-centered medical home demonstration: a prospective, quasi-experimental, before and after evaluation. Am J Manag Care. 2009;15(9):e71–e87.PubMed
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Fernandopulle R, Patel N. How the electronic health record did not measure up to the demands of our medical home practice. Health Aff (Millwood). 2010;29(4):622–8.CrossRef
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Bates DW, Bitton A. The future of health information technology in the patient-centered medical home. Health Aff (Millwood). 2010;29(4):614–621.CrossRef
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Landon BE, Gill JM, Antonelli RC, Rich EC. Using evidence to inform policy: developing a policy-relevant research agenda for the patient-centered medical home. J Gen Intern Med. 2010;25(6):581–3.CrossRefPubMed
Metadata
Title
Primary Care and the US Health Care System: What Needs to Change?
Author
David W. Bates, MD, MSc
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 10/2010
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-010-1464-0

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Keynote webinar | Spotlight on medication adherence

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