Four pillars established for promoting primary care reform

January 29, 2014
Four pillars established for promoting primary care reform

(HealthDay)—Four pillars have been identified for promoting primary care physician workforce reform, according to an article published in the January/February issue of the Annals of Family Medicine.

Noting that national statistics demonstrate that an insufficient number of students and residents are choosing primary care careers, Jeri Hepworth, Ph.D., and colleagues from the Council of Academic Family Medicine Four Pillars Taskforce developed the "Four Pillars for Primary Care Physician Workforce" model to identify necessary conditions to ensure primary care physician growth.

The researchers identified the four pillars as pipeline; process of ; practice transformation; and payment reform. The pipeline pillar includes identifying, recruiting, and retaining students and residents into primary care. The process of medical education pillar includes modeling excellence in training physicians at all levels of education, with physicians encouraged to practice evidence-based, compassionate, and comprehensive primary care. Practice transformation includes the Patient-Centered Medical Home model of care, which provides a framework for primary care practices in the future. Finally, payment reform includes national advocacy to address the need for appropriate reimbursement of primary care practice and medical education.

"The 'four pillars' is a powerful vehicle for promoting the expansion of the primary care workforce which can serve as an 'elevator speech' to effectively communicate the key steps to increase the number of physicians in the United States," the authors write.

Explore further: Primary care work environment affects nurse practitioners

More information: Full Text

Related Stories

Primary care work environment affects nurse practitioners

January 14, 2014
(HealthDay)—The organizational climate in primary care settings influences the professional practice of nurse practitioners (NPs), according to research published in the November issue of the Journal of Professional Nursing.

Alternative to Medicare sustained growth rate proposed

December 26, 2013
(HealthDay)—A proposed alternative to the Medicare sustained growth rate (SGR) formula for physicians encourages Medicare to adopt advanced primary care practice (APCP) as a new provider category, according to a perspective ...

US adults want physicians managing their health care

December 24, 2013
(HealthDay)—U.S. adults prefer physicians to non-physicians for health care and would choose a physician to lead their medical team, according to the results of a survey commissioned by the American Academy of Family Physicians ...

Childhood cancer survivors experience a gap in care

January 24, 2014
A recent study shows that many internists feel ill-equipped to care for adult patients who are childhood cancer survivors. Eugene Suh, MD, assistant professor in the division of Pediatric Hematology & Oncology at Loyola University ...

Top ten physician challenges of 2014 discussed

January 27, 2014
(HealthDay)—The top ten challenges for physicians in 2014 relate to payment for medical services and government mandates, as well as adapting to a changing patient population and the need to improve work-life balance, according ...

Physician shortage could be cut by new primary care models, study finds

November 4, 2013
Much of the shortage of primary care physicians expected over the next decade could be eliminated if the nation increases use of new models of medical care that expand the role of nurse practitioners and physician assistants, ...

Recommended for you

Brain disease seen in most football players in large report

July 25, 2017
Research on 202 former football players found evidence of a brain disease linked to repeated head blows in nearly all of them, from athletes in the National Football League, college and even high school.

Safety of medical devices not often evaluated by sex, age, or race

July 25, 2017
Researchers at Yale and the University of California-San Francisco have found that few medical devices are analyzed to consider the influence of their users' sex, age, or race on safety and effectiveness.

Why you should consider more than looks when choosing a fitness tracker

July 25, 2017
A UNSW study of five popular physical activity monitors, including Fitbit and Jawbone models, has found their accuracy differs with the speed of activity, and where they are worn.

Dog walking could be key to ensuring activity in later life

July 24, 2017
A new study has shown that regularly walking a dog boosts levels of physical activity in older people, especially during the winter.

Alcohol to claim 63,000 lives over next five years, experts warn

July 24, 2017
Alcohol consumption will cause 63,000 deaths in England over the next five years – the equivalent of 35 deaths a day – according to a new report from the University of Sheffield Alcohol Research Group.

Alcohol boosts recall of earlier learning

July 24, 2017
Drinking alcohol improves memory for information learned before the drinking episode began, new research suggests.

1 comment

Adjust slider to filter visible comments by rank

Display comments: newest first

freethinking
not rated yet Jan 29, 2014
Pillar one..... get rid of Obama care. More people are now uninsured than before Democrats "fixed" health care, and those that have health care will be paying much more for a lot less.

Lying Dictator and Chief Obama and his Democratic cohorts and all the idiots who voted for him should live with Obama care for the rest of their lives.

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.