Policy issueA Re-emerging Political Space for Linking Person and Community Through Primary Health Care
Section snippets
Methods
The research protocol was approved by the Case Western Reserve University IRB. Thirteen semistructured interviews were conducted in May 2011 with individuals in leadership positions in health-related Washington, DC–based federal agencies, think tanks, nonprofits, and quality standard–defining organizations. Organizations were selected for their important roles in defining the implementation phase of recent health reform measures related to primary care and in defining the next set of national
Results
Four major themes emerged from the analysis: (1) an affirmation of the current relevance of the fundamental tenets of primary care as a foundation for the U.S. healthcare system, (2) an understanding of the patient-centered medical home as a transitional step to foster innovation and payment reform that enable high-level primary care, (3) a call for an immediate focus on community-based solutions integrating primary care and public health, and (4) an urgent call for continued advocacy to push
Discussion
The informants of this study reinforced and expanded beyond the fundamental tenets of primary care.31, 32, 33, 34, 35 As defined more than a decade ago by the IOM:
Primary care is the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.36
In an era of fragmentation37, 38, 39 of the healthcare
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