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Getting Primary Care — A Life-Saving Intervention — Off Life Support

  • Jennifer E. DeVoe
    Correspondence
    Correspondence: Address to Jennifer E. DeVoe, MD, DPhil, Department of Family Medicine, Oregon Health & Science University, 3181 Sam Jackson Park Rd, FM, Portland, OR 97239
    Affiliations
    Department of Family Medicine, Oregon Health & Science University, Portland
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      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

        • Basu S.
        • Berkowitz S.A.
        • Phillips R.L.
        • et al.
        Association of primary care physician supply with population mortality in the United States 2005–2015.
        JAMA Intern Med. 2019; 179: 506-514
        • DeVoe J.E.
        • Cheng A.
        • Krist A.
        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;
        • Ashman J.J.
        • Rui P.
        • Okeyode T.
        Characteristics of Office-based Physician Visits, 2016 NCHS Data Brief No. 331, January 2019.
        • Seervai S.
        We need primary care more than ever to fight COVID-19. The Commonwealth Fund, June 10, 2020.
        • Wilson C.
        Smokers Are Actually at a Higher Risk of Dying From covid-19.
        New Sci. 2020; 246: 8-9
        • Sanchis-Gomar F.
        • Lavie C.J.
        • Mehra M.R.
        • Henry B.M.
        • Lippi G.
        Obesity and outcomes in COVID-19: when an epidemic and pandemic collide.
        Mayo Clin Proc. 2020; 95: 1445-1453
        • Krist A.H.
        • DeVoe J.E.
        • Cheng A.
        • Ehrlich T.
        Five phases of a pandemic for primary care.
        Ann Fam Med. 2020; 18: 349-354
        • Kimball S.
        Doctors face pay cuts, furloughs and supply shortages as coronavirus pushes primary care to the brink. CNBC Health and Science, May 25, 2020.
        • Levey N.N.
        Widening coronavirus crisis threatens to shutter doctors’ offices nationwide. The Los Angeles Times, March 24, 2020.
        • Terry K.
        Primary Care Practices Struggle to Survive Despite Visit Rebound. Medscape News, May 22, 2020.
        • National Association of Community Health Centers
        National Findings on Health Centers' Response to COVID-19 as of May 1, 2020.
        • Basu S.
        • Phillips R.S.
        • Phillips R.
        • Peterson L.E.
        • Landon B.
        Primary care practice finances in the United States mid the COVID-19 pandemic.
        Health Affairs. 2020; 39
        • Koller C.F.
        • Khullar D.
        Primary care spending rate — a lever for encouraging investment in primary care.
        N Engl J Med. 2017; 377: 1709-1711
        • Gold S.
        • Green L.A.
        • Westfall J.M.
        How Payment Reform Could Enable Primary Care to Respond to COVID-19. Issue Brief. Milbank Memorial Quarterly Journal. April 20, 2020.
        • Mullan F.
        • Chen C.
        • Petterson S.
        • Kolsky G.
        • Spagnola B.A.
        The social mission of medical education: ranking the schools.
        Ann Intern Med. 2010; 152: 804-811
        • Butkus R.
        • Lane S.
        • Steinmann A.F.
        • Caverzagie J.
        • Tape T.G.
        • Hingle S.T.
        • Moyer D.V.
        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
        • Petterson S.M.
        • Liaw W.R.
        • Tran C.
        • et al.
        Estimating the residency expansion required to avoid projected primary care physician shortages by 2035.
        Ann Fam Med. 2015; 13: 107-114
        • Bazemore A.
        • Petterson S.
        • Peterson L.E.
        • et al.
        More comprehensive care among family physicians is associated with lower costs and fewer hospitalizations.
        Ann Fam Med. 2015; 13: 206-213
        • Brunk D.
        Primary care physicians reshuffle their work, lives in a pandemic. Medscape, May 1, 2020.
        • Puffer J.C.
        • Borkan J.
        • DeVoe J.E.
        • et al.
        Envisioning a new health care system for America.
        Fam Medic. 2015; 47: 598-603
        • Bodenheimer T.
        • Laing B.Y.
        After COVID-19: how to rejuvinate primary care for the future. Health Affairs Blog, May 21, 2020.
        • Westfall J.M.
        • et al.
        Coronavirus: Family physicians provide telehealth care at risk of bankruptcy. USAToday, April 7, 2020.
        • Drake C.
        • Eisenson H.
        Assessing and addressing social needs in primary care. New England Journal of Medicine Catalyst, Nov 6, 2019.
        • Gotler R.
        • Green L.A.
        • Etz R.
        What 1966 Can Teach Us About the Future of Primary Care: The Case for Communities of Solution. Milbank Quarterly Opinion. June 10, 2020.
        • National Commission on Community Health Services
        Health is a Community Affair.
        Harvard University Press, Cambridge, MA1966
        • The Folsom Group
        Communities of solution: the Folsom Report revisited.
        Ann Fam Med. 2012; 10: 250-260
        • Etz R.S.
        • Zyzanski S.J.
        • Gonzalez M.M.
        • Reves S.R.
        • O’Neal J.P.
        • Stange K.C.
        A new comprehensive measure of high-value aspects of primary care.
        Ann Fam Med. 2019; 17: 221-230
        • Bazemore A.
        • Petterson S.
        • Peterson L.E.
        • et al.
        Higher primary care physician continuity is associated with lower costs and hospitalizations.
        Ann Fam Med. 2018; 16: 492-497
        • Pereira Gray D.J.
        • Sidaway-Lee K.
        • White E.
        • Thorne A.
        • Evans P.H.
        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