Changes in health care delivery have affected the work that physicians are expected to
perform and, in turn, their satisfaction. There is a gap between the professional mission …

Substantial efforts to redesign health care delivery are underway in the United States,
including primary care, without attention to what has historically been known as “the …

EDITORIALS consider patient-centeredness of patients (and their families), clinicians, and
health systems. 9, 10 Helping patients to be more active in consultations changes centuries …

We highlight primary care innovations gathered from high-functioning primary care
practices, innovations we believe can facilitate joy in practice and mitigate physician …

The patient-physician relationship is changing in response to the influence of empowered
consumers, the Information Revolution, and the Human Genome Project. Although the trend …

A group of senior leaders from the early generation of academic family medicine reflect on
the meaning of being a personal physician, based on their own clinical experiences and as …

For the first time in recent history, there is nearly universal agreement that the redesigned
US health care system must have as its foundation robust, comprehensive, and capable …

Twenty-first century healthcare will be defined by better care, smarter spending, and
healthier people. All eyes are on technology as the means to drive down costs and improve …

An emerging vision for primary care calls for the adoption of information technology and a
strong business model to save a dying health care system. The authors are participants in …

Managed care scares me, but with patients enrolled in health maintenance organizations
(HMOs) now making up a quarter of my internal-medicine practice, I've found it essential to …