solutions_challenges_primarycare_2009
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solutions_challenges_primarycare_2009
__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009ultsSolutions to the Challenges Facing Primary Care MedicineComprehensive Strategies from the American College of PhysiciansSUNSETTED by the Board of Regents on 2/15/2022American College of Physicians Policy Monograph 2009Solutions to the Challenges Facing Primary Care MedicineComprehensive Strategi solutions_challenges_primarycare_2009es from the American College of PhysiciansPolicy Monograph of the American College of PhysiciansThis paper, written by M. Renee Zerchi, was developedsolutions_challenges_primarycare_2009
for the Health and Public: Policy Committee of rhe American College of Physicians: J. Fred Ralston, MD, FACP, Chair, David A. Fleming, AID, FACP, Í7rc__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009nneth A. Musana, MBchB; Mark w. Purrle, MD, FACP; p. Preston Reynolds, MD, F\CP; ĩđvanya Viswanathan, Student; Kevin B. Weiss, MD, MPIĨ, FACP; and lỉaỉigh Ychia, AID, Associate. Il was approved by the Board of Regents on 20 April 2009.II low to cite this paper:American College of Physicians. Solutio solutions_challenges_primarycare_2009ns to the Challenges Facing Primary' Care Medicine. Philadelphia: American College of Physicians; 2009: Policy Monograph. (Available from American Colsolutions_challenges_primarycare_2009
lege of Physicians, 190 N. Independence-Mall West, Philadelphia, PA 19106.)Copyright ©2009 American College of Physicians.All rights reserved. Individ__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009 use in any form, by' any means (electronic, mechanical, xerographic, or other) or held in any information storage or retrieval system without the written permission of die publisher.For questions about tile content of this Policy Monograph Paper, please contact ACP, Division of Governmental Affairs solutions_challenges_primarycare_2009 and Public Policy, Suite 700, 25 Massachusetts Avenue NW, Washington, DC 20001-7401; telephone 202-261 -4500. 'IÔ order copies of this Position Papersolutions_challenges_primarycare_2009
, contact ACP Customer Service at 800-523-1546, extension 2600, or 215-351-2600.itSolutions to the Challenges Facing Primary Care MedicineExecutive Su__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009revious white paper, the College documented over 1(H) studies that confinn the value of primary care (1). Studies at the state, county, and local level confinn that primary care improves health outcomes, increases quality, and reduces health care costs. Despite the availability of such evidence, the solutions_challenges_primarycare_2009 United States has done little to ensure that the supply of primary care physicians is sufficient to meet current and film re needs.llie demand for prsolutions_challenges_primarycare_2009
imary care in the United States is expected to grow at a rapid rate, while the nation’s supply of primary care physicians is dwindling and interest of__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009physician supply are multifaceted and complex. Key factors include the rapid rise in medical education debt, decreased income potential for primary care physicians, and increased administrative hassles that have caused great dissatisfaction with the current practice environment (2).Primary' care phy solutions_challenges_primarycare_2009sicians provide 52% of all ambulatory care visits, 80% of patient visits for hypertension, and 69% of visits for both chronic obstructive pulmonary' dsolutions_challenges_primarycare_2009
isease and diabetes, yet they make up only one-third of the U.S. physician workforce (3, 4). Compelling evidence demonstrates better health outcomes a__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009primary care specialties increased in die early 1990s, reaching 9,348 in 1998, the number fell to 7,289 by 2005—only 1% above the 1995 level—during die same decade in which the U.S. population grew by nearly 12% (6).A strong primary' care infrastructure is an essential part of high-functioning healt solutions_challenges_primarycare_2009h systems in developed countries. Compared with other industrialized countries, the U.S. health care system achieves worse quality anti efficiency ofsolutions_challenges_primarycare_2009
care with lower patient satisfaction (7). The World Health Organization’s 2008 World Health Report emphasizes the importance of primary health care. I__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009 byenacting reforms organized around primary' health care. When countries at the same level of economic development were compared, those in which health care was organized around primary- care produced a higher level of health for the same investment (8).Many areas of the nation are currently' exper solutions_challenges_primarycare_2009iencing shortages in primary care physicians. The Institute of Medicine (IOM) reports that it would take 16,261 additional primary care physicians tosolutions_challenges_primarycare_2009
meet the need in currently underserved areas (9). Two studies estimate that the nation will experience far greater shortages by 2025 (10, 11). These s__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009ehensive strategics arc needed to halt and reverse the decline in the numbers of physicians choosing general internal medicine and other primary care careers. These strategies must recognize, support, and enhance primary care to the degree necessary to reverse a primary care shortage that is only wo solutions_challenges_primarycare_2009rsening. This paper offers a comprehensive set of recommendations to address the challenges facing primary care. These strategies must be implementedsolutions_challenges_primarycare_2009
concurrently for the nation to realize meaningful improvements in the primary care workforce. No single strategy can resolve the challenges facing pri__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009imary Care MedicineRecommendations of the American College of PhysiciansEstablish a National Health Care Workforce Policy1.Thc federal government should develop a national health care workforce policy that includes sufficient support to educate and train a supply of health professionals that meets t solutions_challenges_primarycare_2009he nation’s health care needs and specifically to ensure an adequate supply and spectrum of primary care physicians trained to manage care for the whosolutions_challenges_primarycare_2009
le patient. General internists, who provide long-term, longitudinal, comprehensive care in the office and the hospital and manage both common and comp__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009h a permanent national commission on the health care workforce to provide explicit planning at the federal level by setting specific targets for increasing primary' care capacity, including training and retaining more primary care physicians whose training is appropriate for the present and anticipa solutions_challenges_primarycare_2009ted health care needs of the nation. The Commission should also recommend policies, including changes in graduate medical education binding, to achievsolutions_challenges_primarycare_2009
e those targets and metrics to evaluate the success of each policy intervention.As a preliminary target, ACP recommends that the number of Medicare-fi__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009e physicians each year for tile next 15 years to meet the nation’s anticipated health care needs.*The College has identified three major challenges facing primary care physicians in practice and those considering careers in primary' care that the commission must address: high levels of educational d solutions_challenges_primarycare_2009ebt; lifestyle concerns due to administrative hassles and practice design; and payment issues, including the disparity in salaries between primary carsolutions_challenges_primarycare_2009
e physicians and specialists and payment policies that do not appropriately recognize the care that primary care physicians provide. Students should b__________________________________ SUNSETTED by the Board of Regents on 2/1S/2022AGPAmerican College of PhysiciansINTERNAL MEDICINE I Doctors /or Ai/u solutions_challenges_primarycare_2009eously and swiftly for the nation to meet the demand for the number of primary' care physicians necessary to care for the U.S. population.Gọi ngay
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