RT Journal Article
SR Electronic
T1 “A Paradox Persists When the Paradigm Is Wrong”: Pisacano Scholars' Reflections from the Inaugural Starfield Summit
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 793
OP 804
DO 10.3122/jabfm.2016.06.160228
VO 29
IS 6
A1 Noemi Doohan
A1 Anastasia J. Coutinho
A1 Jennifer Lochner
A1 Diana Wohler
A1 Jennifer DeVoe
YR 2016
UL http://www.jabfm.org/content/29/6/793.abstract
AB 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.