Table 6.

Comparison of Traditional vs New Model Practices

Traditional Model of PracticeNew Model of Practice
Systems often disrupt the patient-physician relationshipSystems support continuous healing relationships
Care is provided to both sexes and all ages; includes all stages of the individual and family life cycles in continuous, healing relationshipsCare is provided to both sexes and all ages; includes all stages of the individual and family life cycles in continuous, healing relationships
Physician is center stagePatient is center stage
Unnecessary barriers to access by patientsOpen access by patients
Care is mostly reactiveCare is both responsive and prospective
Care is often fragmentedCare is integrated
Paper medical recordElectronic health record
Unpredictable package of services is offeredCommitment to providing directly and/or coordinating a defined basket of services
Individual patient orientedIndividual and community 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 and safety of care are assumedProcesses are in place for ongoing measurement and improvement of quality and safety
Physician is the main source of careMultidisciplinary team is the source of care
Individual physician-patient visitsIndividual and group visits involving several patients and members of the health care team
Consumes knowledgeGenerates new knowledge through practice-based research
Experience basedEvidence based
Haphazard chronic disease managementPurposeful, organized chronic disease management
Struggles financially, undercapitalizedPositive financial margin, adequately capitalized