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Redesigning Primary Care

Closed for Comments
as of November 26, 2008

Thomas H. Lee, M.D., Thomas Bodenheimer, M.D., Allan H. Goroll, M.D., Barbara Starfield, M.D., M.P.H., and Katharine Treadway, M.D.

U.S. primary care is in crisis. Primary care physicians must care for more and more patients, with more and more chronic conditions, in less and less time, for which they are compensated far less than subspecialists. They must absorb increasing volumes of medical information and complete more paperwork than ever, as they try to function in a poorly coordinated health care system. As a result, their ranks are thinning, with practicing physicians burning out and trainees shunning primary care fields. In a roundtable discussion moderated by Dr. Thomas Lee, four experts in primary care and related policy — Drs. Thomas Bodenheimer, Allan Goroll, Barbara Starfield, and Katharine Treadway — explore the crisis, as well as possible solutions for training, practice, compensation, and systemic change.

Transcript of Video

New comments from readers were posted
through November 26, 2008.

Contributors

Position

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  • Physician -- Primary Care (0)
  • Physician -- Non-Primary Care (0)
  • Medical Student (0)
  • Resident or Trainee (0)
  • Other Health Care Professional (0)
  • Other (0)

Location

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  • United States (0)
  • Other (0)

Articles on Primary Care

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The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved.