Primary Care Teams: Past, Present and Future

[摘要] Evidence is mixed on the effect of value-based payment models on access, quality, and care.1–3 One reason may be that while a great deal of attention has been paid to redesigning care delivery and payment models, less focus has centered on redesigning the workforce to deliver team-based care in new models of care.4 Bodenheimer5 suggests that the survival of primary care hinges on creating teams that share the care with well-trained and empowered health professionals who can take on functions that do not require a physician. Such structural changes to primary care require retraining physicians and other providers to more effectively function in teams, remapping workflows, and redesigning care to allow for more collaboration between physicians and other health care professionals.6–9 Despite the growing body of research on the evolving roles of medical assistants,10,11 nurses (RNs),12,13 social workers,14 pharmacists,15 nurse practitioners (NPs), and physician assistants (PAs),16 we lack a good understanding of different team configurations in primary care practices.

[学科分类] 过敏症与临床免疫学