'A Paradox Persists When the Paradigm Is Wrong': Pisacano Scholars' Reflections from the Inaugural Starfield Summit
Autor: | Noemi Doohan, Diana Wohler, Jennifer Lochner, Anastasia J. Coutinho, Jennifer E. DeVoe |
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Rok vydání: | 2016 |
Předmět: |
Value (ethics)
media_common.quotation_subject education Context (language use) 03 medical and health sciences 0302 clinical medicine Nursing Health care Medicine Humans 030212 general & internal medicine Fellowships and Scholarships health care economics and organizations Starfield media_common geography Summit geography.geographical_feature_category Primary Health Care business.industry 030503 health policy & services Public Health Environmental and Occupational Health Fee-for-Service Plans Health Care Costs Continuity of Patient Care Payment Quality Improvement United States Policy studies Leadership Patient Satisfaction 0305 other medical science business Family Practice Delivery of Health Care Theme (narrative) Foundations |
Zdroj: | Journal of the American Board of Family Medicine : JABFM. 29(6) |
ISSN: | 1558-7118 |
Popis: | The inaugural Starfield Summit was hosted in April 2016 by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care with additional partners and sponsors, including the Pisacano Leadership Foundation (PLF). The Summit addressed critical topics in primary care and health care delivery, including payment, measurement, and team-based care. Invited participants included an interdisciplinary group of pediatricians, family physicians, internists, behaviorists, trainees, researchers, and advocates. Among the family physicians invited were both current and past PLF (Pisacano) scholars. After the Summit, a small group of current and past Pisacano scholars formed a writing group to reflect on and summarize key lessons and conclusions from the Summit. A Summit participant's statement, "a paradox persists when the paradigm is wrong," became a repeated theme regarding the paradox of primary care within the context of the health care system in the United States. The Summit energized participants to renew their commitment to Dr. Starfield's 4 C's of Primary Care (first contact access, continuity, comprehensiveness, and care coordination) and to the Quadruple Aim (quality, value, and patient and physician satisfaction) and to continue to explore how primary care can best shape the future of the nation's health care system. |
Databáze: | OpenAIRE |
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