In Reply Dr Fix and colleagues highlight the important cultural challenges faced in the implementation of personalized care planning. Primary care is most commonly defined as first-contact care that is comprehensive, long-term, person-focused, and coordinated, all within the context of family and community.1 As such, contextualizing decisions about health care treatments to individual patient’s needs and circumstances is one of the core roles of a primary care clinician. However, we agree that this person-centered ideal is often not achieved in practice. Current measurement and reward systems in primary care often focus on disease-specific processes that may not be important to patients,2 and electronic health records in their current form do not accommodate patient perspectives.3 As such, tools and strategies to help primary care become more person-centered are desperately needed.
Samuel T. Edwards, David A. Dorr, Bruce E. Landon. Challenges in Implementing Personalized Care Planning—Reply. JAMA. 2017;318(17):1713–1714. doi:10.1001/jama.2017.14261