TY - JOUR
T1 - Health Equity
T2 - The Only Path Forward for Primary Care
AU - Henry, Tracey L.
AU - Britz, Jacqueline B.
AU - Louis, Joshua St
AU - Bruno, Richard
AU - Oronce, Carlos Irwin A.
AU - Georgeson, Andrew
AU - Ragunanthan, Braveen
AU - Green, Maya M.
AU - Doshi, Neeti
AU - Huffstetler, Alison N.
N1 - Publisher Copyright:
© 2022, Annals of Family Medicine, Inc. All rights reserved.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - The 2021 National Academies of Sciences, Engineering, and Medicine (NASEM) report on Implementing High-Quality Primary Care identifies 5 high-level objectives regarding payment, access, workforce development, information technology, and implementation. Nine junior primary care leaders (3 internal medicine, 3 family medicine, 3 pediatrics) invited from broad geographies, practice settings, and academic backgrounds used appreciative inquiry to identify priorities for the future of primary care. Highlighting the voices of these early career clinicians, we propose a response to the report from the perspective of early career primary care physicians. Health equity must be the foundation of the future of primary care. Because Barbara Starfield’s original 4 Cs (first contact, coordination, comprehensive-ness, and continuity) may not be inclusive of the needs of under-resourced communities, we promote an extension to include 5 additional Cs: convenience, cultural humility, struc-tural competency, community engagement, and collaboration. We support the NASEM report’s priorities and its focus on achieving health equity. We recommend investing in local communities and preparatory programs to stimulate diverse individuals to serve in health care. Finally, we support a blended value-based care model with risk adjustment for the social complexity of our patients.
AB - The 2021 National Academies of Sciences, Engineering, and Medicine (NASEM) report on Implementing High-Quality Primary Care identifies 5 high-level objectives regarding payment, access, workforce development, information technology, and implementation. Nine junior primary care leaders (3 internal medicine, 3 family medicine, 3 pediatrics) invited from broad geographies, practice settings, and academic backgrounds used appreciative inquiry to identify priorities for the future of primary care. Highlighting the voices of these early career clinicians, we propose a response to the report from the perspective of early career primary care physicians. Health equity must be the foundation of the future of primary care. Because Barbara Starfield’s original 4 Cs (first contact, coordination, comprehensive-ness, and continuity) may not be inclusive of the needs of under-resourced communities, we promote an extension to include 5 additional Cs: convenience, cultural humility, struc-tural competency, community engagement, and collaboration. We support the NASEM report’s priorities and its focus on achieving health equity. We recommend investing in local communities and preparatory programs to stimulate diverse individuals to serve in health care. Finally, we support a blended value-based care model with risk adjustment for the social complexity of our patients.
KW - health equity
KW - primary health care
KW - risk adjustment
KW - social justice
KW - workforce
UR - http://www.scopus.com/inward/record.url?scp=85128001121&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85128001121&partnerID=8YFLogxK
U2 - 10.1370/afm.2789
DO - 10.1370/afm.2789
M3 - Article
C2 - 35165088
AN - SCOPUS:85128001121
SN - 1544-1709
VL - 20
SP - 175
EP - 178
JO - Annals of family medicine
JF - Annals of family medicine
IS - 2
ER -