Family Practice in the United States

Graham, Robert; Roberts, Richard G.; Ostergaard, Daniel J.; Kahn, Norman B.; Pugno, Perry A.; Green, Larry A.

doi:10.1001/jama.288.9.1097

Cited by 33 publications

(18 citation statements)

References 18 publications

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“…This study adds to the growing literature about the importance of family physicians in improving health outcomes. 36 To improve timely follow-up of women with breast abnormalities at urban public hospitals, promoting development of a relationship with a family physician may be an important public health intervention.…”

Section: Discussionmentioning

confidence: 99%

Family Physicians Expedite Diagnosis of Breast Disease in Urban Minority Women

Ferrante

Rovi²,

Das³

et al. 2007

The Journal of the American Board of Family Medicine

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Section: Discussionmentioning

confidence: 99%

Family Physicians Expedite Diagnosis of Breast Disease in Urban Minority Women

Ferrante

Rovi²,

Das³

et al. 2007

The Journal of the American Board of Family Medicine

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“…3 All was not well, however, either with family medicine or with health care in general. [4][5][6][7][8][9][10][11] At the national level, serious health policy issues proved to be intractable.…”

Section: The Problem In Contextmentioning

confidence: 98%

Task Force 1. Report of the Task Force on Patient Expectations, Core Values, Reintegration, and the New Model of Family Medicine

Green

Graham²,

Bagley³

et al. 2004

The Annals of Family Medicine

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BACKGROUND To lay the groundwork for the development of a comprehensive strategy to transform and renew the specialty of family medicine, this Future of Family Medicine task force was charged with identifying the core values of family medicine, developing proposals to reform family medicine to meet consumer expectations, and determining systems of care to be delivered by family medicine in the future.METHODS A diverse, multidisciplinary task force representing a broad spectrum of perspectives and expertise analyzed and discussed published literature; fi ndings from surveys, interviews, and focus groups compiled by research fi rms contracted to the Future of Family Medicine project; and analyses from The Robert Graham Center, professional societies in the United States and abroad, and others. Through meetings, conference calls, and writing, and revision of a series of subcommittee reports, the entire task force reached consensus on its conclusions and recommendations. These were reviewed by an external panel of experts and revisions were made accordingly. MAJOR FINDINGSAfter delivering on its promise to reverse the decline of general practice in the United States, family medicine and the nation face additional challenges to assure all people receive care that is safe, effective, patient-centered, timely, effi cient, and equitable. Challenges the discipline needs to address to improve family physicians' ability to make important further contributions include developing a broader, more accurate understanding of the specialty among the public and other health professionals, addressing the wide scope and variance in practice types within family medicine, winning respect for the specialty in academic circles, making family medicine a more attractive career option, and dealing with the perception that family medicine is not solidly grounded in science and technology.The task force set forth a proposed identity statement for family medicine, a basket of services that should be reliably provided in family medicine practices, and an itemization of key attributes and core values that defi ne the specialty. It also proposed and described a New Model of family medicine for people of all ages and both genders that emphasizes patient-centered, evidence-based, whole-person care provided through a multidisciplinary team approach in settings that reduce barriers to access and use advanced information systems and other new technologies.The task force recommended a time of active experimentation to redesign the work and workplace of family physicians; the development of revised fi nancial models for family medicine, and a national resource to provide assistance to individual practices moving to New Model practice; and cooperation with others pursuing the transformation of frontline medicine to better serve the public.CONCLUSIONS Unless there are changes in the broader health care system and within the specialty, the position of family medicine in the United States will be S34REPORT OF TASK FORCE 1 untenable in a 10-to 20-y...

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“…Although the specialty has delivered on its promise to reverse the decline of general practice 1,2 and provide personal, frontline medical care to people of all socioeconomic strata and in all regions of the United States, 3 all is not well either with family medicine or with health care in general. [4][5][6][7][8][9][10][11] At the national level, serious health policy issues appear to be intractable.…”

Section: Introductionmentioning

confidence: 99%

The Future of Family Medicine: A Collaborative Project of the Family Medicine Community

2004

The Annals of Family Medicine

385

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BACKGROUND Recognizing fundamental fl aws in the fragmented US health care systems and the potential of an integrative, generalist approach, the leadership of 7 national family medicine organizations initiated the Future of Family Medicine (FFM) project in 2002. The goal of the project was to develop a strategy to transform and renew the discipline of family medicine to meet the needs of patients in a changing health care environment.METHODS A national research study was conducted by independent research fi rms. Interviews and focus groups identifi ed key issues for diverse constituencies, including patients, payers, residents, students, family physicians, and other clinicians. Subsequently, interviews were conducted with nationally representative samples of 9 key constituencies. Based in part on these data, 5 task forces addressed key issues to meet the project goal. A Project Leadership Committee synthesized the task force reports into the report presented here. RESULTSThe project identifi ed core values, a New Model of practice, and a process for development, research, education, partnership, and change with great potential to transform the ability of family medicine to improve the health and health care of the nation. The proposed New Model of practice has the following characteristics: a patient-centered team approach; elimination of barriers to access; advanced information systems, including an electronic health record; redesigned, more functional offi ces; a focus on quality and outcomes; and enhanced practice fi nance. A unifi ed communications strategy will be developed to promote the New Model of family medicine to multiple audiences. The study concluded that the discipline needs to oversee the training of family physicians who are committed to excellence, steeped in the core values of the discipline, competent to provide family medicine's basket of services within the New Model, and capable of adapting to varying patient needs and changing care technologies. Family medicine education must continue to include training in maternity care, the care of hospitalized patients, community and population health, and culturally effective and profi cient care. A comprehensive lifelong learning program for each family physician will support continuous personal, professional, and clinical practice assessment and improvement.Ultimately, systemwide changes will be needed to ensure high-quality health care for all Americans. Such changes include taking steps to ensure that every American has a personal medical home, promoting the use and reporting Leawood, Kan; Kurt C. Stange, MD, PhD, Department of Family Medicine, Case Western Reserve University, Cleveland, Ohio; and Cynthia W. Weber, MA, Association of Family Practice Residency Program Directors, Leawood, Kan.* FFM Executive Editorial Team: Thomas M. Gorey, JD, Policy Planning Associates, Inc, Crystal Lake, Ill; Norman B. Kahn, Jr, MD, American Academy of Family Physicians, Leawood, Kan; Sarah Thomas, American Academy of Family Physicians, Leawood, K...

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Family Practice in the United States

Cited by 33 publications

References 18 publications

Family Physicians Expedite Diagnosis of Breast Disease in Urban Minority Women

Family Physicians Expedite Diagnosis of Breast Disease in Urban Minority Women

Task Force 1. Report of the Task Force on Patient Expectations, Core Values, Reintegration, and the New Model of Family Medicine

The Future of Family Medicine: A Collaborative Project of the Family Medicine Community

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