ArticleAnnals of family medicine
Revitalizing Primary Care, Part 1: Root Causes of Primary Care's Problems.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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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.
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Who cites it
13 citing papers in PubMed, 26 citations in OpenAlex.
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- Building Community Health Center Teams: Evaluating the Impact of Team Training.Journal of general internal medicine · 2026Article
- To the Editor: Reports of My Death….Journal of graduate medical education · 2025Article
- Geographical variation in physician supply and its relationship to utilization of care across older adults in the United States.Health affairs scholar · 2025Article
- Recommendations for Clinicians, Technologists, and Healthcare Organizations on the Use of Generative Artificial Intelligence in Medicine: A Position Statement from the Society of General Internal Medicine.Journal of general internal medicine · 2025Article
- "Good Care Is Slow Enough to Be Able to Pay Attention": Primary Care Time Scarcity and Patient Safety.Journal of general internal medicine · 2024Article
- Primary Care as a Protective Factor: A Vision to Transform Health Care Delivery and Overcome Disparities in Health.The Permanente journal · 2024Review
- Family physicians' preferences for education to support family caregivers: a sequential mixed methods study.BMC primary care · 2024Article
- In their own words: Perspectives of IPV survivors on obtaining support within the healthcare system.PloS one · 2024Article
- Creating and Activating an Implementation Community to Drive HPV Vaccine Uptake in Texas: The Role of an NCI-Designated Cancer Center.Vaccines · 2023Article
- Obstacles and Opportunities on the Path to Improving Health Professions Education and Practice: Lessons From HRSA's Academic Units for Primary Care Training and Enhancement.Annals of family medicine · 2023Article
- It Will Take a Million Primary Care Team Members.Annals of family medicineArticle
- Determining Patient Panel Size in Primary Care: A Meta-Narrative Review.Journal of primary care & community healthReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This 2-part essay offers a discussion of the health of primary care in the United States. Part 1 argues that the root causes of primary care's problems are (1) the low percent of national health expenditures dedicated to primary care (primary care spending) and (2) overly large patient panels that clinicians without a team are unable to manage, leading to widespread burnout and poor patient access.Information used in this essay comes from my personal clinical and policy experience bolstered by summaries of evidence. The analysis leans heavily on my visits to dozens of practices and interviews with hundreds of clinicians, practice leaders, and practice staff.In 2016, the United States spent approximately 5.4% of total health expenditures on primary care, compared with an average among 22 Organization for Economic Co-operation and Development (OECD) countries of 7.8%. With average US primary care panel size around 2,000, it would take a clinician without an effective team 17 hours per day to provide good care to that panel. Low primary care spending and excessive panel sizes are related because most medical students avoid careers featuring underfunded practices with unsustainable work-life balance.Over the past 20 years, many initiatives-explored in Part 2 of this essay-have attempted to address these problems. Part 2 argues that to revitalize primary care, 2 fundamental changes are needed: (1) increased spending dedicated to primary care and (2) creating powerful teams that add capacity to care for large panels.
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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.