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Comment & Response
January 15, 2019

Advantages and Disadvantages of Direct Primary Care—Reply

Author Affiliations
  • 1Warren Alpert Medical School, Brown University, Providence, Rhode Island
  • 2University of Washington Medical School, Seattle
JAMA. 2019;321(2):208. doi:10.1001/jama.2018.18154

In Reply We share the view of Dr Breen and Dr Blume that access to longitudinal primary care constitutes the foundation of an effective health care system and that DPC may contribute to that foundation. However, despite its potential, evidence is lacking.

Blume raises the possibility that DPC may excel in patient and population health compared with traditional models of primary care. Although this may well be the case, we remain unaware of published, peer-reviewed studies that have addressed this claim. The DPC community would do well to establish that the quality of the care it espouses is indeed equivalent or superior to that of other primary care paradigms. Rigorous peer-reviewed studies would be welcome. We embrace Breen’s assertion that it is the fiduciary responsibility of all clinicians to place the interests of patients first.1