Exploring the Patient and Staff Experience With the Process of Primary Care

Elizabeth J. Brown; Shreya Kangovi; Christopher Sha; Sarah Johnson; Casey Chanton; Tamala Carter; David T. Grande

doi:10.1370/afm.1808

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Work for FMAHealth
Jeffrey Borkan

Published on: 28 July 2015
Author response: thanks
Jean Antonucci

Published on: 27 July 2015

Published on: (28 July 2015)
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Work for FMAHealth
Jeffrey Borkan, Physician - Anthropologist
The authors, in this well-written and thought provoking article, underscore many of the limitations of our current primary care delivery system. The FMAHealth (Family Medicine for America's Health) initiative may need to address these "internal issues" if we want to fulfill the potential for primary care.
Competing interests: None declared

Competing Interests: None declared.
Published on: (27 July 2015)
Page navigation anchor for Author response: thanks
Author response: thanks
Jean Antonucci, physician
Thanks for writing and documenting what many of us think about and have noticed for years. Well done. When I was a resident it was clear that continuity with physician did not exist but what worked for patients was continuity with a place, its staff and a system. But if we drew a spaghetti diagram as patients progress though a medical visit and color coded it, the line representing patient agenda and needs would bec...
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Thanks for writing and documenting what many of us think about and have noticed for years. Well done. When I was a resident it was clear that continuity with physician did not exist but what worked for patients was continuity with a place, its staff and a system. But if we drew a spaghetti diagram as patients progress though a medical visit and color coded it, the line representing patient agenda and needs would become fainter and fainter as staff try to check boxes and get "reimbursed." The only good results often come, as Milstein wrote years ago about Health Care Home Runs, on the backs of the personnel who work beyond and around the absurd US system.
Competing interests: None declared
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Competing Interests: None declared.