Health Care Delivery: Commentary

Patient-Centered Medical Homes: The Next Generation

Mar. 3, 2014

The ugly truth is that health care is often inefficient, costly, and does not meet the needs of its principal constituent -- the patient. This realization has led many physicians and health systems to enthusiastically turn to a new model for delivering primary care, the patient-centered medical home. The patient-centered medical home is a simple idea. It reorganizes care around the needs of the patient, emphasizing coordinated, accessible, and efficient care. In short, it reimagines the health care delivery system in the best image of itself.

Why the SGR should matter to medical educators

Nov. 26, 2013

The Sustainable Growth Rate (SGR) formula – a source of unpredictability in Medicare payments to physicians – may finally be repealed. While this might seem unrelated to medical education, what happens next could have a significant impact on academic medicine and the training of students, residents and fellows.

Consumer Preferences Toward Non-Physician Providers

Oct. 3, 2013

Cross-posted on the Robert Wood Johnson Foundation Human Capital Blog

All too often, the debate about expanding the role of nurse practitioners (NPs) and physician assistants (PAs) takes place in a vacuum, as though these practitioners do not already deliver significant amounts of primary care. But they do, and existing evidence indicates that quality of care and patient satisfaction are good as a result.

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