Evidence map›Paper›PMID 40721344›Full record

ArticleAnnals of family medicine2025

Managing Patient Demand in a Value-Based System.

Kumara Raja Sundar

Abstract read
In one paragraph

Article in Annals of family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Kumara Raja SundarKaiser Permanente of Washington, Seattle, Washington raj.r.sundar@kp.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The transition to value-based care requires primary care physicians develop new capabilities in managing health services demand in ambulatory care settings. This narrative draws from clinical experience in a value-based, capitated system to examine how traditional fee-for-service incentives and changing patient expectations increase health care utilization. The essay introduces a practical "3D" framework-Delegate, Defer, Direct-for managing health services demand while maintaining quality care. Clinical examples demonstrate how primary care physicians can leverage team-based care models, implement evidence-based visit frequencies for chronic conditions, and develop systematic approaches to guide appropriate care-seeking behavior. Successfully managing demand requires physician practice innovation and patient partnership, supported by policy changes enabling team-based care delivery. As health care systems increasingly adopt value-based payment models as part of health care delivery reform, skillfully managing demand will become crucial for delivering high-quality, sustainable primary care.

Indexed as

Health Services Needs and DemandPrimary Health CareFee-for-Service PlansHumansQuality of Health CareUnited Stateshealth care reformhealth services demandprimary care physiciansresource allocationvalue-based care

Identifiers

PMID40721344
PMCPMC12306981

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.