New white paper regarding primary care outcomes, quality, cost savings...

Jan 21, 2006
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Source: http://www.medicalnewstoday.com/articles/130075.php

A link to the white paper itself (in PDF format) is here: http://www.acponline.org/advocacy/where_we_stand/policy/primary_shortage.pdf

A white paper, How is a Shortage of Primary Care Physicians Affecting the Quality and Cost of Medical Care?, released today by the American College of Physicians (ACP) documents the value of primary care by reviewing 20 years of research. An annotated bibliography based on a literature review of more than 100 studies documents the evidence to support the critical importance of primary care in providing patients with better outcomes at lower cost, and the urgency of the need to prevent shortages of primary care physicians.

"The evidence for the value of primary care is clear," said Jeffery P. Harris, MD, FACP, president of ACP. "It manifests itself in better quality of life, more productive longevity, and lower costs as a result of reduced hospitalization, improved prevention and better coordination of chronic disease care. The nation must take immediate steps to address the issues that threaten primary care's survival."

The ACP paper notes that policymakers are more likely to take the steps necessary to assure a sufficient primary care workforce if they are aware of the research on the importance of primary care to a high-performing health care system. Featuring more than 100 studies, the white paper provides an overview of current trends in the primary care physician workforce, the importance and value of primary care, and the growing demand for primary care services in the United States.

ACP calls on the federal government, large employers and other purchasers, health plans, and the medical profession itself to take immediate action to create a comprehensive national health-care workforce policy. ACP holds that the policy should:

- focus on primary care;
- adopt a patient-centered physician guided model of health care delivery to provide Americans with optimal care; and
- restructure payment policies to support the value of care provided by primary care physicians.
- provide debt relief to those pursuing careers in primary medicine.

The consequences of failing to act, the College says, will be higher costs, greater inefficiency, lower quality, more uninsured persons, and growing patient and physician dissatisfaction. Averting the collapse of primary care is the best cure for an ailing health care system, ACP says.

"The research, literature and policy all clearly demonstrate that primary care physicians deliver high-quality care, reduce mortality, provide continuity of care, and reduce health care costs," Dr. Harris concluded. "President-elect Obama and the new Congress should embrace these recommendations as they look for primary solutions to the triple challenge of improving access, improving quality and controlling costs."

In addition to this white paper, ACP is developing a new policy paper to provide a comprehensive set of recommendations to assure that the supply of primary care physicians is sufficient to meet current and future needs. Many of ACP's ideas are reflected in the Patient Access to Primary Care Act, H.R. 7192, introduced by Rep. Allison Schwartz of Pennsylvania. This bill will be reintroduced by Rep. Schwartz in the 111th Congress, and Senator Maria Cantwell of Washington is expected at that time to introduce a companion bill in the Senate. Later in 2009, ACP will release a position paper that will make recommendations on how primary care itself needs to change to meet the needs of an aging population with more chronic diseases.
 

andwhat

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remember, we are dealing with politics here. What exactly is my point? My point is, that there is always talk, and never any action.
Primary Care has been a focus of attention for several years. Specialists run Health Care. As long as they are in charge, Primary Care doesn't stand a chance of budging.
Hopefully it will at some point. I for one am certainly not holding my breath for more money in clinic medicine.
I am not willing to see 30-40 patients per day in order to make a living either.
 

Spleen

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Primary care does stand a chance of budging. LEAVE THE SYSTEM. It is that simple. PCP's don't have to see 25+ patients a day. They don't have to be paid pittance. They don't have to fight insurance. They don't have to increase their levels of in office procedures. Quit taking insurance and go cash only fee for service. Or go into a retainer practice. It is that simple. A PCP can be paid for being a good PCP and not a patient mill.

Be the change - I intend to.
 

andwhat

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Primary care does stand a chance of budging. LEAVE THE SYSTEM. It is that simple. PCP's don't have to see 25+ patients a day. They don't have to be paid pittance. They don't have to fight insurance. They don't have to increase their levels of in office procedures. Quit taking insurance and go cash only fee for service. Or go into a retainer practice. It is that simple. A PCP can be paid for being a good PCP and not a patient mill.

Be the change - I intend to.


I actually know of several docs that I have met, doing cash only practices. I met them at a board review course. Insurance companies killing Medicine. There is no way in the world that more than 25 - 30 patients per day (just to make overhead) is considered good medicine. It is burnout, big time. Believe me when I state, that this is exactly what insurance companies want. Doctors to work harder and harder and harder, and get paid less and less. This is profit.
It is corruption in my opinion.
 
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