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Commentary
June 24, 2009

A Health Care Cooperative Extension Service: Transforming Primary Care and Community Health

Author Affiliations

Author Affiliations: University of California, San Francisco Department of Family and Community Medicine, San Francisco General Hospital, San Francisco (Dr Grumbach); Oklahoma Physicians Resource/Research Network, Department of Family and Preventive Medicine, University of Oklahoma College of Medicine, Oklahoma City (Dr Mold).

JAMA. 2009;301(24):2589-2591. doi:10.1001/jama.2009.923

Primary care is the essential foundation for an effective, efficient, and equitable health care system. Calls to rebuild the crumbling primary care infrastructure in the United States are reaching receptive ears, with public and private advisory groups including the Medicare Payment Advisory Commission and the National Business Group on Health recommending increased payments for primary care.1 The American Recovery and Reinvestment Act (ARRA)2 of 2009 appropriated $19 billion for the purchase of health information technology (HIT), with primary care physicians' offices slated to be among the beneficiaries.

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