National Academies Press: OpenBook
« Previous: Front Matter
Suggested Citation:"Abstract." National Academies of Sciences, Engineering, and Medicine. 2021. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Washington, DC: The National Academies Press. doi: 10.17226/25983.
×

Abstract

High-quality primary care is the foundation of a high-functioning health care system and is critical for achieving health care’s quadruple aim (enhancing patient experience, improving population health, reducing costs, and improving the health care team experience). High-quality primary care provides comprehensive person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Primary care is unique in health care in that it is designed for everyone to use throughout their lives—from healthy children to older adults with multiple comorbidities and people with disabilities. People in countries and health systems with high-quality primary care enjoy better health outcomes and more health equity.

In 1996, the Institute of Medicine released Primary Care: America’s Health in a New Era. The report made comprehensive recommendations to improve primary care, most of which were never implemented. As a result, the current Committee on Implementing High-Quality Primary Care was charged to build on the recommendations of the 1996 report and to develop an implementation plan for high-quality primary care in the United States.

The committee’s implementation plan targets primary care stakeholders, balancing national needs for scalable solutions while allowing for local fit. The implementation plan includes five objectives to make high-quality primary care available for everyone in the United States.

  1. Pay for primary care teams to care for people, not doctors to deliver services.
Suggested Citation:"Abstract." National Academies of Sciences, Engineering, and Medicine. 2021. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Washington, DC: The National Academies Press. doi: 10.17226/25983.
×
  1. Ensure that high-quality primary care is available to every individual and family in every community.
  2. Train primary care teams where people live and work.
  3. Design information technology that serves the patient, family, and interprofessional care team.
  4. Ensure that high-quality primary care is implemented in the United States.

The committee’s implementation plan—comprising recommended actions under each implementation objective—builds on a three-element implementation strategy:

  1. An implementation framework, with three levels of change that accounts for the complexity of the U.S. health care system and its public- and private-sector actors.
  2. An accountability framework that establishes a structure and process for assessing the adequacy and completeness of implementation activities.
  3. A public policy framework that prioritizes developing government policy to implement high-quality primary care, consistent with its status as a common good.

The committee’s implementation plan calls for appropriately scaled actions by public- and private-sector actors at the macro, meso, and micro system levels and recommends accountability structures to ensure the work gets done. The value of primary care is beyond dispute, with extensive research identifying policies and practices that facilitate high-quality primary care. The actions within this plan will promote and effectively scale those policies and practices. (See the Summary or the report for a full description and discussion of each recommended action.)

The nation deserves nothing less than high-quality primary care for all, but creating such a system requires leadership, accountability, and a clear path forward to accomplish this work. The committee hopes the work captured in this report realizes this vision sooner rather than later.

Suggested Citation:"Abstract." National Academies of Sciences, Engineering, and Medicine. 2021. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Washington, DC: The National Academies Press. doi: 10.17226/25983.
×
Page 1
Suggested Citation:"Abstract." National Academies of Sciences, Engineering, and Medicine. 2021. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Washington, DC: The National Academies Press. doi: 10.17226/25983.
×
Page 2
Next: Summary »
Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care Get This Book
×
Buy Paperback | $75.00 Buy Ebook | $59.99
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF

High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels.

Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern.

Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs.

  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    Switch between the Original Pages, where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.

    « Back Next »
  6. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  7. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  8. ×

    View our suggested citation for this chapter.

    « Back Next »
  9. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!