1 / 7

Navigating the Evolving Landscape of Primary Care: A Medical Student's Perspective

Explore the transformation of primary care from the '80s to today, focusing on idealism, realism, quality, and payment models. Discover the challenges, risks, and opportunities in the ever-changing healthcare paradigm.

cedrice
Download Presentation

Navigating the Evolving Landscape of Primary Care: A Medical Student's Perspective

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. If I were a medical student today… Scott Eathorne, MD Medical Director Providence Medical Group Partner Health

  2. Would I still go into Primary Care? • Then and now: the ’80’s and today • Idealism and Realism: “It’s not, or at least not initially, about the money” • Primary Care “Motherhood and Apple Pie” – The PCMH • Personal physician: PCP, selected specialists • Physician directed medical practice: team based care • Whole person orientation • Care that is coordinated and/or integrated: Wegner’s Chronic Care Model • Quality and safety • Enhanced Access: “the right care at the right time and place” • Payment

  3. Then… • More care, less paperwork (although the HMO looming large…) • Be your own boss (but physician employment on the rise…) • Everyone provided outstanding care (no consistent performance reporting, certainly not public) • Demand for primary care (a buyer’s market – “Gatekeepers Needed”) • “Doctor knows best” patients • Reasonable pay

  4. And now… • Mounting “paperwork” (referrals, prior authorizations, performance reporting) • Transitional payment chaos (FFS to Capitation to P4P) • Constant “transformation”: (Pursuing the PCMH) • Profiling and Performance Reporting (maybe my care isn’t outstanding) • Educated patients (sometimes demanding) • Declining volumes from lost coverage (but anticipated demand – The Aging Boomers) • Overall declining pay and the need to pursue other revenue streams

  5. The Opportunity • Leadership in the evolving healthcare paradigm • From “Gatekeeper” to “Partner in Health” • From episodic care to population management • Equal parts art and science (Marcus Welby with a computer) • Demonstrated excellence and value • Creating Accountable Care Organizations – moving PCMH beyond PCP office to engage specialists, hospitals, and other care providers • Payment models that adequately reward the pivotal role of PCP

  6. The Risks • Systemic adoption of PCMH does not occur (and promise of improved quality/safety at lower cost not realized) • Inability to effectively engage all care providers • Consumers don’t value the new care model (I want the care I want, when and where I want it) • Payment reform doesn’t occur in a meaningful way (continued incentives toward procedural work, episodic care) • Consumers aren’t engaged through benefit design to change

  7. And the answer… • YES! • But what to tell the kids?? • And who will take care of me??

More Related