Primary care and health reform
- PMID: 22976358
- DOI: 10.1002/msj.21335
Primary care and health reform
Abstract
Skyrocketing health care costs are burdening our people and our economy, yet health care indicators show how little we are achieving with the money we spend. Federal and state governments, along with public-health experts and policymakers, are proposing a host of new initiatives to find solutions. The Patient Protection and Affordable Care Act is designed to address both the quality and accessibility of health care, while reducing its cost. This article provides an overview of models supported by the Affordable Care Act that address one or more goals of the "Triple Aim": better health care for individuals, better health outcomes in the community, and lower health care costs. The models described below rely on the core principles of primary care: comprehensive, coordinated and continuous primary care; preventive care; and the sophisticated implementation of health information technology designed to promote communication between health care providers, enhance coordination of care, minimize duplication of services, and permit reporting on quality. These models will support better health care and reduced costs for people who access health care services but will not address health outcomes in the community at large. Health care professionals, working in concert with community-based organizations and advocates, must also address conditions that influence health in the broadest sense to truly improve the health of our communities and reduce health care costs.
© 2012 Mount Sinai School of Medicine.
Similar articles
-
"Lost to follow-up": the public health goals of accountable care.Arch Intern Med. 2012 Apr 9;172(7):584-6. doi: 10.1001/archinternmed.2012.219. Arch Intern Med. 2012. PMID: 22493465
-
The Affordable Care Act's new tools and resources to improve health and care for low-income families across the country.Issue Brief (Commonw Fund). 2013 Oct;26:1-14. Issue Brief (Commonw Fund). 2013. PMID: 24143851
-
Accountable care organizations and the allergist: challenges and opportunities.J Allergy Clin Immunol Pract. 2014 Jan-Feb;2(1):34-9. doi: 10.1016/j.jaip.2013.09.020. J Allergy Clin Immunol Pract. 2014. PMID: 24565766
-
An opportunity for coordinated cancer care: intersection of health care reform, primary care providers, and cancer patients.Cancer J. 2010 Nov-Dec;16(6):593-9. doi: 10.1097/PPO.0b013e3181feee9a. Cancer J. 2010. PMID: 21131791 Review.
-
The patient-centered medical home and accountable care organizations: an overview.Curr Opin Obstet Gynecol. 2012 Dec;24(6):458-64. doi: 10.1097/GCO.0b013e32835998ae. Curr Opin Obstet Gynecol. 2012. PMID: 23090617 Review.
Cited by
-
Multimorbidity and catastrophic health expenditure: Evidence from the China Health and Retirement Longitudinal Study.Front Public Health. 2022 Oct 26;10:1043189. doi: 10.3389/fpubh.2022.1043189. eCollection 2022. Front Public Health. 2022. PMID: 36388267 Free PMC article.
-
Finding good alternatives to hospitalisation: a data register study in five municipal acute wards in Norway.BMC Health Serv Res. 2022 May 30;22(1):715. doi: 10.1186/s12913-022-08066-3. BMC Health Serv Res. 2022. PMID: 35637492 Free PMC article.
-
What if something happens tonight? A qualitative study of primary care physicians' perspectives on an alternative to hospital admittance.BMC Health Serv Res. 2021 May 11;21(1):447. doi: 10.1186/s12913-021-06444-x. BMC Health Serv Res. 2021. PMID: 33975573 Free PMC article.
-
Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements in visit summary design.J Am Med Inform Assoc. 2017 Apr 1;24(e1):e61-e68. doi: 10.1093/jamia/ocw106. J Am Med Inform Assoc. 2017. PMID: 27497793 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
