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A Strategy to Transform Primary Health Care

Peter Margolis, MD, PhD; Neal Halfon, MD, MPH

JAMA. 2009;302(13):1461-1462.

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

Upgrading primary care is key to realizing the promise of health care reform to improve access and quality while reducing costs. Promising models, such as the patient-centered medical home and new measurement systems for detecting better population outcomes, require primary care clinicians to develop innovative ways of organizing care. Because new and improved approaches are not easily transplanted directly into practice, transforming primary health care will be virtually impossible without a system for innovating, testing, and providing what works. Primary health care innovation networks can accelerate primary care transformation by harnessing the collective intelligence and motivation of the medical community.

Collaborative networks of primary care practices can enhance the capability of individual practices, as well as the capacity of local primary care systems, to improve health outcomes. One example is the Cincinnati Children's Physician-Hospital Organization,¹ which is a network of 40 independently . . . [Full Text of this Article]

Network-Based Innovation and Dissemination

Author Affiliations: Center for Health Care Quality, Division of Health Policy and Clinical Effectiveness, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (Dr Margolis); and Center for Healthier Children, Families & Communities and Department of Pediatrics, David Geffen School of Medicine, and Department of Health Services, School of Public Health, and Department of Public Policy, School of Public Affairs, University of California, Los Angeles (Dr Halfon).

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