PT - JOURNAL ARTICLE AU - Westfall, John M. TI - Cold-Spotting: Linking Primary Care and Public Health to Create Communities of Solution AID - 10.3122/jabfm.2013.03.130094 DP - 2013 May 01 TA - The Journal of the American Board of Family Medicine PG - 239--240 VI - 26 IP - 3 4099 - http://www.jabfm.org/content/26/3/239.short 4100 - http://www.jabfm.org/content/26/3/239.full SO - J Am Board Fam Med2013 May 01; 26 AB - By providing enhanced primary care and social services to patients with high utilization of expensive emergency and hospital care, there is evidence that their health can improve and their costs can be lowered. This type of “hot-spotting” improves the care of individual patients. It may be that these patients live in communities with disintegrated social determinants of health, little community support, and poor access to primary care. These “cold spots” in the community may be amenable to interventions targeted at linking primary care and public health at broader community and population levels. Building local communities of solution that address the individual and population may help decrease these cold spots, thereby eliminating the hot spots as well.