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Research ArticleSpecial Communications

“A Paradox Persists When the Paradigm Is Wrong”: Pisacano Scholars' Reflections from the Inaugural Starfield Summit

Noemi Doohan, Anastasia J. Coutinho, Jennifer Lochner, Diana Wohler and Jennifer DeVoe
The Journal of the American Board of Family Medicine November 2016, 29 (6) 793-804; DOI: https://doi.org/10.3122/jabfm.2016.06.160228
Noemi Doohan
From the Department of Family and Community Medicine, University of California–Davis (ND) (past Pisacano scholar); Santa Rosa Family Medicine Residency, Santa Rosa, California (AJC) (current Pisacano scholar); Department of Family Medicine and Community Health, University of Wisconsin–Madison (JL) (past Pisacano scholar); Brown Family Medicine Residency, Providence, Rhode Island (DW) (current Pisacano scholar); Department of Family Medicine, Oregon Health & Science University, Portland (JD) (past Pisacano scholar)
MD, PhD
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Anastasia J. Coutinho
From the Department of Family and Community Medicine, University of California–Davis (ND) (past Pisacano scholar); Santa Rosa Family Medicine Residency, Santa Rosa, California (AJC) (current Pisacano scholar); Department of Family Medicine and Community Health, University of Wisconsin–Madison (JL) (past Pisacano scholar); Brown Family Medicine Residency, Providence, Rhode Island (DW) (current Pisacano scholar); Department of Family Medicine, Oregon Health & Science University, Portland (JD) (past Pisacano scholar)
MD, MHS
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Jennifer Lochner
From the Department of Family and Community Medicine, University of California–Davis (ND) (past Pisacano scholar); Santa Rosa Family Medicine Residency, Santa Rosa, California (AJC) (current Pisacano scholar); Department of Family Medicine and Community Health, University of Wisconsin–Madison (JL) (past Pisacano scholar); Brown Family Medicine Residency, Providence, Rhode Island (DW) (current Pisacano scholar); Department of Family Medicine, Oregon Health & Science University, Portland (JD) (past Pisacano scholar)
MD
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Diana Wohler
From the Department of Family and Community Medicine, University of California–Davis (ND) (past Pisacano scholar); Santa Rosa Family Medicine Residency, Santa Rosa, California (AJC) (current Pisacano scholar); Department of Family Medicine and Community Health, University of Wisconsin–Madison (JL) (past Pisacano scholar); Brown Family Medicine Residency, Providence, Rhode Island (DW) (current Pisacano scholar); Department of Family Medicine, Oregon Health & Science University, Portland (JD) (past Pisacano scholar)
MD
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Jennifer DeVoe
From the Department of Family and Community Medicine, University of California–Davis (ND) (past Pisacano scholar); Santa Rosa Family Medicine Residency, Santa Rosa, California (AJC) (current Pisacano scholar); Department of Family Medicine and Community Health, University of Wisconsin–Madison (JL) (past Pisacano scholar); Brown Family Medicine Residency, Providence, Rhode Island (DW) (current Pisacano scholar); Department of Family Medicine, Oregon Health & Science University, Portland (JD) (past Pisacano scholar)
MD, DPhil
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Abstract

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.

  • Family Practice
  • Forecasting
  • Leadership
  • Personal Satisfaction
  • Physicians
  • Family
  • Primary Health Care
  • Research Personnel
  • Writing
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The Journal of the American Board of Family     Medicine: 29 (6)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 6
November-December 2016
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“A Paradox Persists When the Paradigm Is Wrong”: Pisacano Scholars' Reflections from the Inaugural Starfield Summit
Noemi Doohan, Anastasia J. Coutinho, Jennifer Lochner, Diana Wohler, Jennifer DeVoe
The Journal of the American Board of Family Medicine Nov 2016, 29 (6) 793-804; DOI: 10.3122/jabfm.2016.06.160228

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“A Paradox Persists When the Paradigm Is Wrong”: Pisacano Scholars' Reflections from the Inaugural Starfield Summit
Noemi Doohan, Anastasia J. Coutinho, Jennifer Lochner, Diana Wohler, Jennifer DeVoe
The Journal of the American Board of Family Medicine Nov 2016, 29 (6) 793-804; DOI: 10.3122/jabfm.2016.06.160228
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  • Article
    • Abstract
    • Summit Structure and Discussion Process
    • PLF and Its Role in the Summit
    • Overview of the Summit Discussions: “A Paradox Persists When the Paradigm is Wrong”
    • Summarizing the Summit: Facts, Discussion Themes, and Authors' Thoughts
    • Discussion
    • Conclusion
    • Acknowledgments
    • Appendix 1
    • Notes
    • References
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  • Google Scholar

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Keywords

  • Family Practice
  • Forecasting
  • Leadership
  • Personal Satisfaction
  • Physicians
  • Family
  • Primary Health Care
  • Research Personnel
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