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- Page navigation anchor for Small is BeautifulSmall is BeautifulShow More
Small is Beautiful was written by E. F. Schumacher in 1973 about the positive economics and quality offered by small businesses. This certainly applies to small medical practices, especially those following the idealized micropractice format. Many of these practices use the direct primary care patient payment, but in rural areas this is often not feasible. Some insurance plans are discovering that small practices usin...
Competing Interests: None declared. - Page navigation anchor for MEASURED TO DEATH: WHEN WRONG MEASURES CAN KILL PRIMARY CARE TRANSFORMATIONMEASURED TO DEATH: WHEN WRONG MEASURES CAN KILL PRIMARY CARE TRANSFORMATIONShow More
I am grateful to Drs. Glancey and Kennedy for their excellent commentary and saddened by what they report. Here are two family physicians that go out of their way to provide exemplary, transformational primary care. A true PCMH, they provide the fundamental tenets of primary care, a new way of organizing practice, development of internal capabilities; and related health system and reimbursement changes. [1] They comply...
Competing Interests: None declared. - Page navigation anchor for Monetizing US healthcare, value, and being nimbleMonetizing US healthcare, value, and being nimbleShow More
After the terrific analytics by our ABFM colleagues, the experiences of a cutting edge community practice, the observations by a national leader of health information tech, and a cry from the heart from a brilliant policy leader in our field, I wonder what I can add that will move this conversation forward.
My own position is in a small independent practice with an outsize population in the Bronx for 35 years,...
Competing Interests: None declared. - Page navigation anchor for Hello Policy World! Are you listening?Hello Policy World! Are you listening?Show More
Decision-makers and especially anyone who thinks they might become a patient better pay attention to this Clancey and Kennedy commentary. And they better not make the mistake of dismissing it as nostalgic, head-in-the-sand whining from out of touch small town docs.
See this commentary for what it is: "a postcard from the edge" of a foundational system of small practices capable of ADAPTING to the unbelievably...
Competing Interests: None declared.