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Annals of Family Medicine 2:S3-S32 (2004)
© 2004 Annals of Family Medicine, Inc.
doi: 10.1370/afm.130
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The Future of Family Medicine: A Collaborative Project of the Family Medicine Community

Future of Family Medicine Project Leadership Committee

CORRESPONDING AUTHOR: Norman B. Kahn, Jr, MD, American Academy of Family Physicians, 11400 Tomahawk Creek Parkway, Leawood, KS 66211-2672 nkahn{at}aafp.org

BACKGROUND Recognizing fundamental flaws in the fragmented US health care systems and the potential of an integrative, generalist approach, the leadership of 7 national family medicine organizations initiated the Future of Family Medicine (FFM) project in 2002. The goal of the project was to develop a strategy to transform and renew the discipline of family medicine to meet the needs of patients in a changing health care environment.

METHODS A national research study was conducted by independent research firms. Interviews and focus groups identified key issues for diverse constituencies, including patients, payers, residents, students, family physicians, and other clinicians. Subsequently, interviews were conducted with nationally representative samples of 9 key constituencies. Based in part on these data, 5 task forces addressed key issues to meet the project goal. A Project Leadership Committee synthesized the task force reports into the report presented here.

RESULTS The project identified core values, a New Model of practice, and a process for development, research, education, partnership, and change with great potential to transform the ability of family medicine to improve the health and health care of the nation. The proposed New Model of practice has the following characteristics: a patient-centered team approach; elimination of barriers to access; advanced information systems, including an electronic health record; redesigned, more functional offices; a focus on quality and outcomes; and enhanced practice finance. A unified communications strategy will be developed to promote the New Model of family medicine to multiple audiences. The study concluded that the discipline needs to oversee the training of family physicians who are committed to excellence, steeped in the core values of the discipline, competent to provide family medicine’s basket of services within the New Model, and capable of adapting to varying patient needs and changing care technologies. Family medicine education must continue to include training in maternity care, the care of hospitalized patients, community and population health, and culturally effective and proficient care. A comprehensive lifelong learning program for each family physician will support continuous personal, professional, and clinical practice assessment and improvement.

Ultimately, systemwide changes will be needed to ensure high-quality health care for all Americans. Such changes include taking steps to ensure that every American has a personal medical home, promoting the use and reporting of quality measures to improve performance and service, advocating that every American have health care coverage for basic services and protection against extraordinary health care costs, advancing research that supports the clinical decision making of family physicians and other primary care clinicians, and developing reimbursement models to sustain family medicine and primary care practices.

CONCLUSIONS The leadership of US family medicine organizations is committed to a transformative process. In partnership with others, this process has the potential to integrate health care to improve the health of all Americans.




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Ann. Fam. Med, March 1, 2005; 3(2): 159 - 166.
[Abstract] [Full Text] [PDF]

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P. C. Smith, R. Araya-Guerra, C. Bublitz, B. Parnes, L. M. Dickinson, R. Van Vorst, J. M. Westfall, and W. D. Pace
Missing Clinical Information During Primary Care Visits
JAMA, February 2, 2005; 293(5): 565 - 571.
[Abstract] [Full Text] [PDF]

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R. E. Glasgow, M. G. Ory, L. M. Klesges, M. Cifuentes, D. H. Fernald, and L. A. Green
Practical and Relevant Self-Report Measures of Patient Health Behaviors for Primary Care Research
Ann. Fam. Med, January 1, 2005; 3(1): 73 - 81.
[Abstract] [Full Text] [PDF]

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K. C. Stange
In This Issue: New Model Finances, Systematic Reviews, Patients and Health Care
Ann. Fam. Med, November 1, 2004; 2(6): 530 - 531.
[Full Text] [PDF]

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K. C. Stange
How to Use the Annals Online Discussion
Ann. Fam. Med, November 1, 2004; 2(6): 611 - 612.
[Full Text] [PDF]

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J. E. South-Paul
STFM and the Implementation of the Future of Family Medicine Project
Ann. Fam. Med, November 1, 2004; 2(6): 619 - 620.
[Full Text] [PDF]

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S. J. Spann and for the members of Task Force 6 and The Executive
Report on Financing the New Model of Family Medicine
Ann. Fam. Med, November 1, 2004; 2(suppl_3): S1 - S21.
[Abstract] [Full Text] [PDF]

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S. E Waldren and D. C Kibbe
Email in clinical care
BMJ, October 16, 2004; 329(7471): E325 - E326.
[Full Text] [PDF]

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K. Bent, J. C. Engebretson, N. Busen, J. S. Mahoney, J. McNeill, and L. Littleton
Conspicuous Omission Versus Voice and Visibility: Reconstructing Cultural Messages about Nursing and the Future of Healthcare
J Transcult Nurs, October 1, 2004; 15(4): 350 - 350.
[PDF]

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K. C. Stange
Questions, Interpretation, Exhortation
Ann. Fam. Med, September 1, 2004; 2(5): 514 - 517.
[Full Text] [PDF]

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K. C. Stange
Improving Health Care Locally and Globally
Ann. Fam. Med, July 1, 2004; 2(4): 368 - 370.
[Full Text] [PDF]

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L. A. Green
Annals of Family Medicine Is 1 Year Old: So What and Who Cares?
Ann. Fam. Med, May 1, 2004; 2(3): 197 - 199.
[Full Text] [PDF]

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L. A. Green
Future of Family Medicine Recommendations Confirm Need for Increased Research from Family Physicians
Ann. Fam. Med, May 1, 2004; 2(3): 282 - 283.
[Full Text] [PDF]

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W. R. Phillips
In This Issue: Research in the Community and Clinic
Ann. Fam. Med, March 1, 2004; 2(2): 98 - 100.
[Full Text] [PDF]

TRACK Comments:

Read all TRACK Comments

Blue Cross Blue Shield Plans and AAFP: Creating a Better Future
Allan Korn, M.D., FACP
Annals of Family Medicine, 31 Mar 2004 [Full text]
Allow Our Marketing Consultants to Help Us
Charles V. Wright
Annals of Family Medicine, 31 Mar 2004 [Full text]
Giving Up
Donald Kirk
Annals of Family Medicine, 31 Mar 2004 [Full text]
We must evolve
L. Gordon Moore
Annals of Family Medicine, 31 Mar 2004 [Full text]
There won't be a practice if...
Kim C. Ireland
Annals of Family Medicine, 1 Apr 2004 [Full text]
A new "old-fashioned" approach to Family Medicine
Glennon J. Fox
Annals of Family Medicine, 1 Apr 2004 [Full text]
Living The Dream
Justin V. Bartos, MD
Annals of Family Medicine, 2 Apr 2004 [Full text]
Future of Family Medicine
john j. saxer M.D.
Annals of Family Medicine, 4 Apr 2004 [Full text]
Complexity and Benificence
Henk Lamberts
Annals of Family Medicine, 6 Apr 2004 [Full text]
Whither Family Medicine?
Barbara Starfield
Annals of Family Medicine, 6 Apr 2004 [Full text]
Health Promotion, Technology and Joy
Judith Chamberlain, MD
Annals of Family Medicine, 8 Apr 2004 [Full text]
Perspectives from U.S. Representative Jim McDermott
Jim McDermott
Annals of Family Medicine, 8 Apr 2004 [Full text]
STOP THE MADNESS
MITCHELL LEWIS
Annals of Family Medicine, 12 Apr 2004 [Full text]
It's about the money!
William P Marshall
Annals of Family Medicine, 12 Apr 2004 [Full text]
The movement toward retainer medicine
John A Blanchard
Annals of Family Medicine, 15 Apr 2004 [Full text]
response
laura waldron
Annals of Family Medicine, 15 Apr 2004 [Full text]
Medical Organization Overkill
Donald R. Elder MD
Annals of Family Medicine, 16 Apr 2004 [Full text]
FP decline
Peter Wong
Annals of Family Medicine, 16 Apr 2004 [Full text]
ANOTHER PAT ON THE BACK
Geoffrey H. Gorres
Annals of Family Medicine, 16 Apr 2004 [Full text]
Re: Giving Up
Scott Samuelson
Annals of Family Medicine, 18 Apr 2004 [Full text]
Response to "Future of Family Medicine"
Aletha Tippett
Annals of Family Medicine, 18 Apr 2004 [Full text]
a nightmare scenario.
neil m berkowitz M.D.
Annals of Family Medicine, 19 Apr 2004 [Full text]
From melting pot to the final "ingot"
James Steinman
Annals of Family Medicine, 19 Apr 2004 [Full text]
A truly new approach to family medicine
Terry L. Franklin
Annals of Family Medicine, 20 Apr 2004 [Full text]
Great Concept But Incompatible with Reality
Douglas W. Morrell
Annals of Family Medicine, 20 Apr 2004 [Full text]
Who cares for all Americans . . .
Richard G. Roberts, MD, JD
Annals of Family Medicine, 20 Apr 2004 [Full text]
No,it's not the modern day Willard report
James C. Martin
Annals of Family Medicine, 20 Apr 2004 [Full text]
Future Trends in Primary Care: Lessons for Family Medicine
M Jawad Hashim
Annals of Family Medicine, 20 Apr 2004 [Full text]
Personal Medical Home
Gregory H. Blake
Annals of Family Medicine, 22 Apr 2004 [Full text]
The Need for Family Doctors is awesome
Robert S. Heck
Annals of Family Medicine, 28 Apr 2004 [Full text]
Concerns of the FFM report
Richard A Young
Annals of Family Medicine, 22 Apr 2004 [Full text]
provocative report
robert l. adams
Annals of Family Medicine, 22 Apr 2004 [Full text]
Pills and Procedures
James Reilly
Annals of Family Medicine, 22 Apr 2004 [Full text]
Personal medical home and access to care
Andrew Deckert
Annals of Family Medicine, 24 Apr 2004 [Full text]
Future of Family Medicine: Chaos Theory in Practice
William R. Phillips
Annals of Family Medicine, 26 Apr 2004 [Full text]
Family Practice Reimbursement Issues Inadequately Addressed
John M Sawyer
Annals of Family Medicine, 26 Apr 2004 [Full text]
The Future of Family Medicine
John J. Naveau
Annals of Family Medicine, 26 Apr 2004 [Full text]
Comment on "The Future of Family Medicine" report.
Allen W. Ditto
Annals of Family Medicine, 26 Apr 2004 [Full text]
One Early Synthesis of the Discussion
Kurt C. Stange
Annals of Family Medicine, 26 Apr 2004 [Full text]
Future of Family Medicine Project
Henry R. Bloom, MD
Annals of Family Medicine, 27 Apr 2004 [Full text]
A Smart Move.
Man K Nguyen
Annals of Family Medicine, 28 Apr 2004 [Full text]
most important factor left out
Clay W Richardson
Annals of Family Medicine, 29 Apr 2004 [Full text]
I am not a professional hand holder!
Robert A. Brockmann
Annals of Family Medicine, 30 Apr 2004 [Full text]
Response to The Future of Family Medicine
John J Hopkins, et al.
Annals of Family Medicine, 30 Apr 2004 [Full text]
Patient-centered approach needs shared responsibility
Randy Card
Annals of Family Medicine, 30 Apr 2004 [Full text]
Administrative/Academic vs. Private Practice Perspective
Michael J. McGlaughlin, MD
Annals of Family Medicine, 3 May 2004 [Full text]
EDITOR'S QUESTIONS AND FURTHER SYNTHESIS
Kurt C Stange
Annals of Family Medicine, 5 May 2004 [Full text]
The Future of Family Medicine
Ricky D Edwards
Annals of Family Medicine, 9 May 2004 [Full text]
CIRCLING THE WAGONS
D. Y. Egerton
Annals of Family Medicine, 9 May 2004 [Full text]
What About the Future of the “Physician” in Family Medicine
William J. Schultz
Annals of Family Medicine, 11 May 2004 [Full text]
Good Intent, Great Potential, Wrong Direction
Omar L. Hamada
Annals of Family Medicine, 12 May 2004 [Full text]
Too much navel gazing...
Kristin K. Elliott
Annals of Family Medicine, 14 May 2004 [Full text]
Future of Family Medicine Includes New Role for Nurses
Mark R. Sanazaro, et al.
Annals of Family Medicine, 14 May 2004 [Full text]
New Model on the Wrong Track
Armando F. Delgado, M.D.
Annals of Family Medicine, 21 May 2004 [Full text]
TAKING STEPS INTO THE FUTURE
Lee Gan Goh
Annals of Family Medicine, 5 Jun 2004 [Full text]
Ashamed
John Lewis
Annals of Family Medicine, 5 Jun 2004 [Full text]
Critical Issues for Family Medicine
Reuben R. McDaniel
Annals of Family Medicine, 10 Jun 2004 [Full text]
A few thoughts
Jack H. Medalie
Annals of Family Medicine, 15 Jun 2004 [Full text]
Family Medicine's Future - The Real Story
Michael W. Turner
Annals of Family Medicine, 21 Jun 2004 [Full text]
We need this dialogue
Ellen L Sakornbut
Annals of Family Medicine, 18 Jul 2004 [Full text]
Why Family Medicine?
Edmond S Weisbart
Annals of Family Medicine, 10 Aug 2004 [Full text]
Family Medicine: Simplicity Beyond Complexity, Leading with Questions
Jeremy M. Fish
Annals of Family Medicine, 29 Oct 2004 [Full text]
'New' Method of Financing Primary Care
Thomas A. Tomlin
Annals of Family Medicine, 16 Nov 2004 [Full text]
New Model of Family Medicine
Charles Anderson, et al.
Annals of Family Medicine, 9 May 2005 [Full text]
Family Physicians are being outflanked
Charles L. Quilty, et al.
Annals of Family Medicine, 18 Jun 2005 [Full text]

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