Lecture 9 - Primary Care

Question 1

Primary care physician usually are in which fields (3)

Answer 1

Family
Internal
Pediatrics

Question 2

Four pillars of effective primary care?

Answer 2

1. First contact (first contact)
2. Comprehensiveness (address wide scope of issues)
3. Coordination of Care (communication with specialist)
4. Continuity of Care (maintaining relationship)

Question 3

Challenges to Primary Care

Answer 3

• Hard to get appointment patients go to ER
• Shortage of providers
• Growing demand for providers
• Reimbursement system sucks for PCP

Question 4

Explain Supply/Demand Mismatch for primary care (

Answer 4

• High demand because lots of old people
• Demand for preventative services
• Rural areas hit hardest

Question 5

What is the estimated PCP shortage the US will face

Answer 5

20,000 - 50,000

Question 6

What are some states with high PCP shortages?

Answer 6

Arizona
New Mexico
Alabama
Mississippi

Question 7

For primary medical care the population to provider ratio needs to be at least __________ to ________

Answer 7

3500 to 1

Question 8

What is the issue with the formula used to determine HPSA (health professional shortage areas)

Answer 8

They do not take into account the PAs and NPs

Question 9

Incentivizing PCP

Answer 9

• Increase salaries
• Loan forgiveness
• Change MS standards
• Reform residency programs

Question 10

PCMH (Patient Centered Medical Home)

Roles?

Answer 10

A promising model for transforming the organization and delivery of primary care - think of clinic that meets all of pt’s needs (medical and lifestyle)

Roles:

1. Model for delivery reform
2. Mechanism for payment reform