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Innovations in Primary Care
August 21, 2002

A Primary Care Home for Americans: Putting the House in Order

Author Affiliations

Author Affiliations: Department of Family and Community Medicine, University of California, San Francisco.


Innovations in Primary Care Section Editor: Drummond Rennie, MD, Deputy Editor.

JAMA. 2002;288(7):889-893. doi:10.1001/jama.288.7.889

This article—the first in a series on primary care—outlines the daunting challenges facing primary care today. Most people in the United States desire a primary care "home" to provide for and coordinate their health care needs. Yet primary care is endangered by physician stress, inadequate performance in managing chronic illness, and inability to provide prompt access and reliable continuity of care. Fundamental redesign is needed to improve access to and quality of care while easing physicians' workload without causing major increases in health care costs.