Table 10.

Comparison of Traditional vs New Model Practices

Traditional Model of PracticeNew Model of Practice
Care is provided to both genders and all ages; includes all stages of the individual and family life cycles in continuous, healing relationshipsCare is provided to both genders and all ages; includes all stages of the individual and family life cycles in continuous, healing relationships
The doctor is center stageThe patient is center stage
Unnecessary barriers to access by patientsOpen access by patients
Care is mostly reactiveCare is reactive and prospective
Care is often fragmentedCare is integrated
Paper medical recordElectronic health record
An unpredictable package of services is offeredA defined package of services is offered reliably
Individual patient orientedIndividual and population oriented
Communication with practice is synchronous (in person or by telephone)Communication with the practice is both synchronous and asynchronous (e-mail, Web portal, voice mail)
Quality of care is assumedQuality of care is continuously measured and improved
The physician is the main source of careA multidisciplinary team is the source of care
Individual physician-patient visitsIndividual and group visits involving several patients and members of the health care team
Consumes knowledgeConsumes and produces knowledge
Safety is assumedSystems to insure safety are built in
Experience basedEvidence based
Haphazard chronic disease managementPurposeful, organized chronic isease management
Struggles financially, undercapitalizedPositive financial margin, adequately capitalized