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- Page navigation anchor for Re:Is comprehensiveness always a good thing?Re:Is comprehensiveness always a good thing?Show More
Mr Fillmore asks a good question about a phenomenon which has been called 'the paradox of primary care;' in many different studies, primary care practices do not follow specialty guidelines as well as the specialty practices, but nevertheless, achieve better outcomes at lower cost. How can this be?
I think this may reflect a problem arising in specialty care, the phenomenon of 'a man with a hammer sees the wor...
Competing Interests: None declared. - Page navigation anchor for A Critical Reference PointA Critical Reference PointShow More
I couldn't be happier to see this publication at this time. This "large data set" analysis confirms multiple examples now being cataloged by the Patient-Centered Primary Care Collaborative (PCPCC) that comprehensive primary care is the way this nation can achieve the Triple Aim of better health and better care at less cost. Yes, there are caveats and possible specific populations where the impact is not linear in benefi...
Competing Interests: None declared. - Page navigation anchor for Comprehensiveness is good, but let's get more family doctors first.Comprehensiveness is good, but let's get more family doctors first.Show More
Let's not get too carried away here! Rather than reigniting scope of practice debates AMONG family physicians, or BETWEEN family medicine and other primary care specialties, remember that primary care, ANY primary care, is better than the heavily specialty-centric mix of uncoordinated, uncomprehensive care that most patients currently endure.
I applaud the authors for shedding much needed light on comprehensive...
Competing Interests: None declared. - Page navigation anchor for Is comprehensiveness always a good thing?Is comprehensiveness always a good thing?Show More
This is an excellent article. I have a question, but first I want to recommend your key message to providers, policy makers and payers. We need to remove barriers and provide system supports to encourage more comprehensiveness in primary care.
My question: In our own work on scope of practice in primary care over the past five years, we have found that the laudatory effects are not always linear. Especially for...
Competing Interests: None declared.
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