ArticleJournal of general internal medicine2017
The Coming Primary Care Revolution.
Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed.
- Experiences of Older Adults, Physiotherapists, and Aged Care Staff in the TOP UP Telephysiotherapy Program: Interview Study of the TOP UP Interventions.JMIR aging · 2024Trial
- Nested order panels for adult primary care modestly improves ordering efficiency among high utilizers.JAMIA open · 2026Article
- Human-centered AI in healthcare teams: integrating clinical oversight, EHR auditability, and reimbursement pathways for responsible adoption.Frontiers in digital health · 2026Review
- Patient's Perceptions of a Centralized Virtual Ward for Remote Patient Monitoring in Primary Care: Qualitative Study.JMIR human factors · 2025Article
- Getting Inside Closed-Loop Referrals: Exploring the Patient Experience of Finding and Connecting to Social Care With a Community Resource Referral System Using a Community-Based Participatory Approach.Health services research · 2025Article
- Article
- Related factors of turnover intention among general practitioners: a cross-sectional study in 6 provinces of China.BMC primary care · 2025Article
- Dear Health Care Professional: What People Need and Want When Diagnosed With Type 2 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- More than meets the eye: a critical discourse analysis of a Swedish health system reform.BMC health services research · 2023Article
- Comparison of Work Patterns Between Physicians and Advanced Practice Practitioners in Primary Care and Specialty Practice Settings.JAMA network open · 2023Article
- The Untapped Potential of the Quadruple Aim of Primary Care to Foster a Culture of Health.International journal of general medicine · 2023Article
- Does healthcare consumerism serve as a barrier or facilitator to the implementation of value-based primary care? Strategies to promote synergy and success.Frontiers in medicine · 2023Article
- [Community participation in health as an essential element for health system strengthening in the AmericasLa participación en salud como elemento indispensable para el fortalecimiento de los sistemas de atención de salud en las Américas].Revista panamericana de salud publica = Pan American journal of public health · 2023Article
- Using a theoretical framework to inform implementation of the patient-centred medical home (PCMH) model in primary care: protocol for a mixed-methods systematic review.Systematic reviews · 2022Article
- Exploring home-based care nurses' mindset for nursing practices: a phenomenological study.BMC nursing · 2022Article
- Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System: Evidence from the China Health and Retirement Longitudinal Study 2011-2018.International journal of environmental research and public health · 2022Article
- The association between primary care use and potentially-preventable hospitalization among dual eligibles age 65 and over.BMC health services research · 2022Observational
- Stated preferences for family doctor contract services: a survey of the rural elderly in Anhui Province, China.BMJ open · 2022Article
- Primary Care Networks and Starfield's 4Cs: A Case for Enhanced Chronic Disease Management.International journal of environmental research and public health · 2021Article
- Multimorbid Patient Experiences With Primary Care at Community Health Centers in Shanghai, China.Frontiers in public health · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The United States has the most expensive, technologically advanced, and sub-specialized healthcare system in the world, yet it has worse population health status than any other high-income country. Rising healthcare costs, high rates of waste, the continued trend towards chronic non-communicable disease, and the growth of new market entrants that compete with primary care services have set the stage for fundamental change in all of healthcare, driven by a revolution in primary care. We believe that the coming primary care revolution ought to be guided by the following design principles: 1) Payment must adequately support primary care and reward value, including non-visit-based care. 2) Relationships will serve as the bedrock of value in primary care, and will increasingly be fostered by teams, improved clinical operations, and technology, with patients and non-physicians assuming an ever-increasing role in most aspects of healthcare. 3) Generalist physicians will increasingly focus on high-acuity and high-complexity presentations, and primary care teams will increasingly manage conditions that specialists managed in the past. 4) Primary care will refocus on whole-person care, and address health behaviors as well as vision, hearing, dental, and social services. Design based on these principles should lead to higher-value healthcare, but will require new approaches to workforce training.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.