Primary care has been struggling in the USA for over 50 years. By the 1960s, the decline in new entrants to general practice led to the Millis Commission report defining essential attributes of the imperiled primary care role, as well as to the establishment of Family Practice (now Family Medicine) as...
Payment Reform to Transform Primary Care: What More Is Needed?
A Systematic Review of Vertical Integration and Quality of Care, Efficiency, and Patient-Centered Outcomes
Recent evidence suggests the trend toward vertical integration will likely continue as providers respond to changing payment models and market factors.
Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study
The authors implemented a 15-pill electronic health record default for new Schedule II opioids and assessed opioid quantity before and after implementation using electronic health record data on 6,390 opioid prescriptions from 448 prescribers.
Evolving Delivery System and Market Factors and Their Influence on Physician Networks and Patient Care
In this issue of JAMA Internal Medicine, Landon and colleagues apply claims-based algorithms to identify and describe physician networks.
Provider Experiences with Chronic Care Management (CCM) Services and Fees: A Qualitative Research Study
This article summarizes results from a qualitative research study of provider experience with the Chronic Care Management (CCM) payment policy, which reimburses providers for CCM activities for Medicare beneficiaries occurring outside of office visits.
Leveraging Diverse Data Sources to Identify and Describe U.S. Health Care Delivery Systems
Researchers assess available data sources to identify and describe health care delivery systems, including system members and their relationships. They summarize strengths and limitations for identifying and describing systems due to varied content, linkages across data sources, and data collection.
Patient and Provider Perspectives on Shared Decision Making: A Systematic Review of the Peer-Reviewed Literature
For comparative effectiveness research to be effective, patients and providers must collaborate in shared decision making (SDM) to make evidence-based clinical decisions that align with patient preferences.
Patients' Perspectives of Care Management: A Qualitative Study
Risk-stratified care management is a cornerstone of patient-centered medical home models, but studies on patients’ perspectives of it are scarce. We explored patients’ experiences with care management, what they found useful, and what needs improvement.
Patient Dismissal by Primary Care Practices (Journal Article)
This research letter describes patient dismissal practices based on a survey of over 800 primary care practices.
Center on Health Care Effectiveness (About Us)
Today’s complex health care environment demands high quality, effective care.