TY - JOUR
T1 - "A paradox persists when the paradigm is wrong"
T2 - Pisacano scholars' reflections from the inaugural starfield summit
AU - Doohan, Noemi
AU - Coutinho, Anastasia J.
AU - Lochner, Jennifer
AU - Wohler, Diana
AU - DeVoe, Jennifer
PY - 2016/11/1
Y1 - 2016/11/1
N2 - The inaugural Starfield Summit was hosted in April 2016 by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care with additional partners and sponsors, including the Pisacano Leadership Foundation (PLF). The Summit addressed critical topics in primary care and health care delivery, including payment, measurement, and team-based care. Invited participants included an interdisciplinary group of pediatricians, family physicians, internists, behaviorists, trainees, researchers, and advocates. Among the family physicians invited were both current and past PLF (Pisacano) scholars. After the Summit, a small group of current and past Pisacano scholars formed a writing group to reflect on and summarize key lessons and conclusions from the Summit. A Summit participant's statement, "a paradox persists when the paradigm is wrong," became a repeated theme regarding the paradox of primary care within the context of the health care system in the United States. The Summit energized participants to renew their commitment to Dr. Starfield's 4 C's of Primary Care (first contact access, continuity, comprehensiveness, and care coordination) and to the Quadruple Aim (quality, value, and patient and physician satisfaction) and to continue to explore how primary care can best shape the future of the nation's health care system. (J Am Board Fam Med 2016;29:793- 804.).
AB - The inaugural Starfield Summit was hosted in April 2016 by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care with additional partners and sponsors, including the Pisacano Leadership Foundation (PLF). The Summit addressed critical topics in primary care and health care delivery, including payment, measurement, and team-based care. Invited participants included an interdisciplinary group of pediatricians, family physicians, internists, behaviorists, trainees, researchers, and advocates. Among the family physicians invited were both current and past PLF (Pisacano) scholars. After the Summit, a small group of current and past Pisacano scholars formed a writing group to reflect on and summarize key lessons and conclusions from the Summit. A Summit participant's statement, "a paradox persists when the paradigm is wrong," became a repeated theme regarding the paradox of primary care within the context of the health care system in the United States. The Summit energized participants to renew their commitment to Dr. Starfield's 4 C's of Primary Care (first contact access, continuity, comprehensiveness, and care coordination) and to the Quadruple Aim (quality, value, and patient and physician satisfaction) and to continue to explore how primary care can best shape the future of the nation's health care system. (J Am Board Fam Med 2016;29:793- 804.).
KW - Family
KW - Family practice
KW - Forecasting
KW - Leadership
KW - Personal satisfaction
KW - Physicians
KW - Primary health care
KW - Research personnel
KW - Writing
UR - http://www.scopus.com/inward/record.url?scp=84995593485&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84995593485&partnerID=8YFLogxK
U2 - 10.3122/jabfm.2016.06.160228
DO - 10.3122/jabfm.2016.06.160228
M3 - Article
C2 - 28076263
AN - SCOPUS:84995593485
SN - 1557-2625
VL - 29
SP - 793
EP - 804
JO - Journal of the American Board of Family Medicine
JF - Journal of the American Board of Family Medicine
IS - 6
ER -