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    Primary Care: US

    Steven Waldren, MD American Academy of Family Physicians

    Friday, April 9, 2010

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    Slide

    New Family Physicians

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    Source: Bodenheimer T. Primary care--will it survive?; N Engl J Med. 2006 Aug 31;355(9):861-4.

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    New General Internists

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    Source: Bodenheimer T. Primary care--will it survive?; N Engl J Med. 2006 Aug 31;355(9):861-4.

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    Slide 4

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    Primary Care in US

    Workforce Shortage with agingpopulation Decreased payment for primary care

    (10.7% from 1997-2006 adjusted for inflation)

    Highly fragmented care Mal-alignment of incentives toward

    primary care Poor measurement instruments for

    quality and cost of care

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    Good News

    Acknowledgement of problems Funding for improved training in primary care

    Funding to build infrastructure for quality

    measurement Increased payment to primary care

    First steps toward aligning payment

    New care models that have promise of increased quality and lower cost

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    Friday, April 9, 2010


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