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Primary Care Practice Transformation and the Rise of Consumerism
Americans are increasingly demanding the same level of service in healthcare that they receive in other services and products that they buy. This rise in consumerism poses challenges for primary care physicians as they attempt to transform their practices to succeed in a value-based reimbursement la...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer US
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5377888/ https://www.ncbi.nlm.nih.gov/pubmed/28243874 http://dx.doi.org/10.1007/s11606-016-3946-1 |
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author | Shrank, William H. |
author_facet | Shrank, William H. |
author_sort | Shrank, William H. |
collection | PubMed |
description | Americans are increasingly demanding the same level of service in healthcare that they receive in other services and products that they buy. This rise in consumerism poses challenges for primary care physicians as they attempt to transform their practices to succeed in a value-based reimbursement landscape, where they are rewarded for managing costs and improving the health of populations. In this paper, three examples of consumer-riven trends are described: retail healthcare, direct and concierge care, and home-based diagnostics and care. For each, the intersection of consumer-driven care and the goals of value-based primary care are explored. If the correct payment and connectivity enablers are in place, some examples of consumer-driven care are well-positioned to support primary care physicians in their mission to deliver high-quality, efficient care for the populations they serve. However, concerns about access and equity make other trends less consistent with that mission. |
format | Online Article Text |
id | pubmed-5377888 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-53778882017-04-12 Primary Care Practice Transformation and the Rise of Consumerism Shrank, William H. J Gen Intern Med Perspective Americans are increasingly demanding the same level of service in healthcare that they receive in other services and products that they buy. This rise in consumerism poses challenges for primary care physicians as they attempt to transform their practices to succeed in a value-based reimbursement landscape, where they are rewarded for managing costs and improving the health of populations. In this paper, three examples of consumer-riven trends are described: retail healthcare, direct and concierge care, and home-based diagnostics and care. For each, the intersection of consumer-driven care and the goals of value-based primary care are explored. If the correct payment and connectivity enablers are in place, some examples of consumer-driven care are well-positioned to support primary care physicians in their mission to deliver high-quality, efficient care for the populations they serve. However, concerns about access and equity make other trends less consistent with that mission. Springer US 2017-02-27 2017-04 /pmc/articles/PMC5377888/ /pubmed/28243874 http://dx.doi.org/10.1007/s11606-016-3946-1 Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Perspective Shrank, William H. Primary Care Practice Transformation and the Rise of Consumerism |
title | Primary Care Practice Transformation and the Rise of Consumerism |
title_full | Primary Care Practice Transformation and the Rise of Consumerism |
title_fullStr | Primary Care Practice Transformation and the Rise of Consumerism |
title_full_unstemmed | Primary Care Practice Transformation and the Rise of Consumerism |
title_short | Primary Care Practice Transformation and the Rise of Consumerism |
title_sort | primary care practice transformation and the rise of consumerism |
topic | Perspective |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5377888/ https://www.ncbi.nlm.nih.gov/pubmed/28243874 http://dx.doi.org/10.1007/s11606-016-3946-1 |
work_keys_str_mv | AT shrankwilliamh primarycarepracticetransformationandtheriseofconsumerism |