PT  - JOURNAL ARTICLE
AU  - Henry, Tracey L.
AU  - Britz, Jacqueline B.
AU  - Louis, Joshua St.
AU  - Bruno, Richard
AU  - Oronce, Carlos Irwin A.
AU  - Georgeson, Andrew
AU  - Ragunanthan, Braveen
AU  - Green, Maya M.
AU  - Doshi, Neeti
AU  - Huffstetler, Alison N.
TI  - Health Equity: The Only Path Forward for Primary Care
AID  - 10.1370/afm.2789
DP  - 2022 Mar 01
TA  - The Annals of Family Medicine
PG  - 175--178
VI  - 20
IP  - 2
4099  - http://www.annfammed.org/content/20/2/175.short
4100  - http://www.annfammed.org/content/20/2/175.full
SO  - Ann Fam Med2022 Mar 01; 20
AB  - The 2021 National Academies of Sciences, Engineering, and Medicine (NASEM) report on Implementing High-Quality Primary Care identifies 5 high-level objectives regarding payment, access, workforce development, information technology, and implementation. Nine junior primary care leaders (3 internal medicine, 3 family medicine, 3 pediatrics) invited from broad geographies, practice settings, and academic backgrounds used appreciative inquiry to identify priorities for the future of primary care. Highlighting the voices of these early career clinicians, we propose a response to the report from the perspective of early career primary care physicians. Health equity must be the foundation of the future of primary care. Because Barbara Starfield’s original 4 Cs (first contact, coordination, comprehensiveness, and continuity) may not be inclusive of the needs of under-resourced communities, we promote an extension to include 5 additional Cs: convenience, cultural humility, structural competency, community engagement, and collaboration. We support the NASEM report’s priorities and its focus on achieving health equity. We recommend investing in local communities and preparatory programs to stimulate diverse individuals to serve in health care. Finally, we support a blended value-based care model with risk adjustment for the social complexity of our patients.Appeared as Annals “Online First” article.