@article{ded47fe4d64d4198b1a5cffd5a561abb,
title = "Optimizing health for complex adults in primary care: Current challenges and a way forward",
abstract = "As the population ages, the quantity and complexity of comorbidities only increases in the primary care setting. Health systems strive to improve quality of care and enhance cost savings, but current administrative and payment systems do not easily support the implementation of existing evidence and best practices for multimorbid adults in most primary care offices. This perspectives piece sets forth a research agenda in the area of implementation science at the intersection of geriatrics and general internal medicine. We challenge academic medical centers, medical societies, journals, and funders to actively value and support investigation in this area as much as traditional research pathways.",
keywords = "geriatrics, implementation research, primary care",
author = "Hollis Day and Elizabeth Eckstrom and Sei Lee and Heidi Wald and Steven Counsell and Eugene Rich",
note = "Funding Information: Funding for any innovation or implementation is critical. Support for implementation science research is growing at both the National Institutes of Health (NIH) and the Agency for Healthcare Research and Quality. New grant proposals in this arena will require partnerships with practice-based research networks (PBRN) and patients, partnerships that have not traditionally been embraced by AMCs. There are new sources of funding, such as the Patient-Centered Outcomes Research Institute (PCORI) and the CMS Innovations Projects, with research priorities that are first and foremost patient-centered, transparent, and easily accessible.15 Additionally, health care payment reform provides incentives for improved quality and efficiency in academic medicine. Thus, as AMCs reorganize to meet competing demands, there are multiple opportunities to provide better, more efficient, cost-effective, patient-centered care. Funding Information: Acknowledgements: This paper was funded through a grant obtained from the Association of Subspecialty Professors for the Society of General Internal Medicine Geriatrics Task Force.",
year = "2014",
month = jun,
doi = "10.1007/s11606-013-2749-x",
language = "English (US)",
volume = "29",
pages = "911--914",
journal = "Journal of general internal medicine",
issn = "0884-8734",
publisher = "Springer New York",
number = "6",
}