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【正文】 Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 National Health Reform: The Primary Care Imperatives and Strategies for Addressing Them Presentation to the Center for Family and Community Medicine Columbia University Medical Center Ronda Kotelchuck, Executive Director Primary Care Development Corporation Thursday, January 21, 2022 Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 1. Introduction: The Problems 2. Health Care Reform: The Primary Care Agenda 3. Primary Care Expansion 4. Primary Care Transformation A. Practice Redesign B. Health Information Technology 5. Lessons and Reflections Overview Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 1. Introduction: The Problems Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 Rising Cost and the Role of Chronic Illness ? The rising cost of health care is unsustainable ? Cost is driven by the rising rate of chronic illness. It: – Is the single largest cause of morbidity and mortality – Is the single largest driver of cost (accounts for 75% of all health expenses) – Has the heaviest impact on low ine munities – Will grow more severe as population ages ? Chronic illness is overwhelmingly preventable or primary care manageable. Prevention and management require a robust model of primary care. Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 Primary Care Today: Insufficient and Poorly Organized ? Primary care capacity is insufficient: – 60 million Americans lack access to primary care – Half of primary care doctors plan to reduce or end their practices – Only 20 percent of medical students plan to practice primary care – . is expected to need 46,000 primary care doctors by 2025 ? Most primary care is poorly anized and still practiced in an outdated mode. It is: – Reactive and episodic – Subject to long waits and delays – Uncoordinated – Inefficient Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 Study: US Lags Behind other Countries in Key Primary Care Indicators ? Commonwealth Fund study of 11 countries (November 2022) – Australia, Canada, France, Germany, Italy, Netherlands, New Zealand, Norway, Sweden, UK, US – US 10th out of 11 in use of Electronic Medical Records (46% ahead of Canada) – 10th of 11 in use of care teams (ahead of France) – Last in access to afterhours care – Least likely to have financial incentives for clinical outes Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 2. Health Care Reform The Primary Care Agenda Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 Health Reform Will Drive the Need for Expanded Primary Care Capacity – Expanded insurance coverage will put millions of new customers into the healthcare market – Physician shortages will increase by 25
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