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Transforming Primary Care and Community Health

Kevin Grumbach, MD; James W. Mold, MD, MPH

JAMA. 2009;301(24):2589-2591.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Primary care is the essential foundation for an effective, efficient, and equitable health care system. Calls to rebuild the crumbling primary care infrastructure in the United States are reaching receptive ears, with public and private advisory groups including the Medicare Payment Advisory Commission and the National Business Group on Health recommending increased payments for primary care.¹ The American Recovery and Reinvestment Act (ARRA)² of 2009 appropriated $19 billion for the purchase of health information technology (HIT), with primary care physicians' offices slated to be among the beneficiaries.

Policy makers expect that new investments will transform primary care by creating more effective and efficient patient-centered medical homes. The primary care physician community acknowledges the need for new practice models that provide accessible, comprehensive, integrated care based on healing relationships over time.³

New investment in primary care is necessary but not sufficient to revitalize . . . [Full Text of this Article]

The Extension Service Model

Author Affiliations: University of California, San Francisco Department of Family and Community Medicine, San Francisco General Hospital, San Francisco (Dr Grumbach); Oklahoma Physicians Resource/Research Network, Department of Family and Preventive Medicine, University of Oklahoma College of Medicine, Oklahoma City (Dr Mold).

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