Valerie is in her mid-70s, and I have had the privilege of being her primary care
physician (PCP) for 18 years. She is the rare patient whose recommended preventive
care is always up-to-date and whose medication list includes only vitamins. She sees
me annually to get her flu shot and to receive other recommended preventive care.
Over the years, I have learned that she takes great pride in swimming 2 miles every
day. She helps to care for several elderly neighbors, running occasional errands and
ensuring they have enough food and other household items.
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References
- Association of primary care physician supply with population mortality in the United States 2005–2015.JAMA Intern Med. 2019; 179: 506-514
- Regional strategies for academic health centers to support primary care during the COVID-19 pandemic: a plea from the front lines.JAMA Health Forum. 2020;https://jamanetwork.com/channels/health-forum/fullarticle/2764405Date accessed: June 12, 2020
- Characteristics of Office-based Physician Visits, 2016 NCHS Data Brief No. 331, January 2019.https://www.cdc.gov/nchs/products/databriefs/db331.htmDate accessed: June 12, 2020
- We need primary care more than ever to fight COVID-19. The Commonwealth Fund, June 10, 2020.https://www.commonwealthfund.org/publications/podcast/2020/jun/we-need-primary-care-more-ever-fight-covid-19Date accessed: June 12, 2020
- Smokers Are Actually at a Higher Risk of Dying From covid-19.New Sci. 2020; 246: 8-9
- Obesity and outcomes in COVID-19: when an epidemic and pandemic collide.Mayo Clin Proc. 2020; 95: 1445-1453
- Five phases of a pandemic for primary care.Ann Fam Med. 2020; 18: 349-354https://www.annfammed.org/content/annalsfm/18/4/349.full.pdfDate accessed: July 30, 2020
- Doctors face pay cuts, furloughs and supply shortages as coronavirus pushes primary care to the brink. CNBC Health and Science, May 25, 2020.
- Widening coronavirus crisis threatens to shutter doctors’ offices nationwide. The Los Angeles Times, March 24, 2020.https://www.latimes.com/politics/story/2020-03-24/coronavirus-outbreak-primary-care-doctorsDate accessed: March 24, 2020
- Primary Care Practices Struggle to Survive Despite Visit Rebound. Medscape News, May 22, 2020.
- National Findings on Health Centers' Response to COVID-19 as of May 1, 2020.https://www.nachc.org/wp-content/uploads/2020/05/Health-Center-Response-to-COVID-19-Infographic-2pg-5.1.pdfDate accessed: June 10, 2020
- Primary care practice finances in the United States mid the COVID-19 pandemic.Health Affairs. 2020; 39https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2020.00794Date accessed: June 29, 2020
- Primary care spending rate — a lever for encouraging investment in primary care.N Engl J Med. 2017; 377: 1709-1711
- How Payment Reform Could Enable Primary Care to Respond to COVID-19. Issue Brief. Milbank Memorial Quarterly Journal. April 20, 2020.https://www.milbank.org/publications/how-payment-reform-could-enable-primary-care-to-respond-to-covid-19/Date accessed: June 12, 2020
- The social mission of medical education: ranking the schools.Ann Intern Med. 2010; 152: 804-811
- Financing US graduate medical education: a policy position paper of the Alliance for Academic Internal Medicine and the American College of Physicians.Ann Intern Med. 2016; 165: 134-137
- Estimating the residency expansion required to avoid projected primary care physician shortages by 2035.Ann Fam Med. 2015; 13: 107-114
- More comprehensive care among family physicians is associated with lower costs and fewer hospitalizations.Ann Fam Med. 2015; 13: 206-213
- Primary care physicians reshuffle their work, lives in a pandemic. Medscape, May 1, 2020.https://www.medscape.com/viewarticle/929810Date accessed: May 27, 2020
- Envisioning a new health care system for America.Fam Medic. 2015; 47: 598-603
- After COVID-19: how to rejuvinate primary care for the future. Health Affairs Blog, May 21, 2020.https://www.healthaffairs.org/do/10.1377/hblog20200515.372874/full/Date accessed: May 27, 2020
- Coronavirus: Family physicians provide telehealth care at risk of bankruptcy. USAToday, April 7, 2020.
- Assessing and addressing social needs in primary care. New England Journal of Medicine Catalyst, Nov 6, 2019.https://catalyst.nejm.org/doi/full/10.1056/CAT.19.0693Date accessed: March 30, 2020
- What 1966 Can Teach Us About the Future of Primary Care: The Case for Communities of Solution. Milbank Quarterly Opinion. June 10, 2020.
- Health is a Community Affair.Harvard University Press, Cambridge, MA1966
- Communities of solution: the Folsom Report revisited.Ann Fam Med. 2012; 10: 250-260
- A new comprehensive measure of high-value aspects of primary care.Ann Fam Med. 2019; 17: 221-230
- Higher primary care physician continuity is associated with lower costs and hospitalizations.Ann Fam Med. 2018; 16: 492-497
- Continuity of care with doctors-a matter of life and death? A systematic review of continuity of care and mortality.BMJ Open. 2018; 8: e021161
Article info
Publication history
Published online: March 12, 2021
Footnotes
Potential Competing Interests: Dr DeVoe reports no potential competing interests.
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