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      The Role of Primary Care in Improving Population Health

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          Abstract

          Policy Points

          • Systems based on primary care have better population health, health equity, and health care quality, and lower health care expenditure.

          • Primary care can be a boundary‐spanning force to integrate and personalize the many factors from which population health emerges.

          • Equitably advancing population health requires understanding and supporting the complexly interacting mechanisms by which primary care influences health, equity, and health costs.

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          Most cited references216

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          Contribution of primary care to health systems and health.

          Barbara Starfield, Leiyu Shi, James Macinko (2005)
          Evidence of the health-promoting influence of primary care has been accumulating ever since researchers have been able to distinguish primary care from other aspects of the health services delivery system. This evidence shows that primary care helps prevent illness and death, regardless of whether the care is characterized by supply of primary care physicians, a relationship with a source of primary care, or the receipt of important features of primary care. The evidence also shows that primary care (in contrast to specialty care) is associated with a more equitable distribution of health in populations, a finding that holds in both cross-national and within-national studies. The means by which primary care improves health have been identified, thus suggesting ways to improve overall health and reduce differences in health across major population subgroups.
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            Prevalence of Burnout Among Physicians

            Lisa Rotenstein, Matthew Torre, Marco A. Ramos … (2018)
            Burnout is a self-reported job-related syndrome increasingly recognized as a critical factor affecting physicians and their patients. An accurate estimate of burnout prevalence among physicians would have important health policy implications, but the overall prevalence is unknown.
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              Continuity of care: a multidisciplinary review.

              J. L. Haggerty (2003)
              Article 0 comments Cited 263 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                KURT C. STANGE: kcs@case.edu
                Journal
                Journal ID (nlm-ta): Milbank Q
                Journal ID (iso-abbrev): Milbank Q
                Journal ID (doi): 10.1111/(ISSN)1468-0009
                Journal ID (publisher-id): MILQ
                Title: The Milbank Quarterly
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Print): 0887-378X
                ISSN (Electronic): 1468-0009
                Publication date (Electronic): 25 April 2023
                Publication date (Print): April 2023
                Volume: 101
                Issue: Suppl 1 , Special Centennial Issue: The Future of Population Health: Challenges & Opportunities ( doiID: 10.1111/milq.v101.S1 )
                Pages: 795-840
                Affiliations
                [ 1 ] Center for Community Health Integration Case Western Reserve University
                [ 2 ] Lehigh Valley Health System and University of South Florida Morsani College of Medicine
                [ 3 ] Virginia Commonwealth University
                Author notes
                [*] [* ] Address correspondence to: Kurt C. Stange, MD, PhD, Case Western Reserve University, 11000 Cedar Ave., Suite 402, Cleveland, OH 44106–7136 (email: kcs@ 123456case.edu ).

                Article
                Publisher ID: MILQ12638
                DOI: 10.1111/1468-0009.12638
                PMC ID: 10126984
                PubMed ID: 37096603
                SO-VID: 2080cfbc-7294-453c-b659-d08845516095
                Copyright © © 2023 The Authors. The Milbank Quarterly published by Wiley Periodicals LLC on behalf of The Milbank Memorial Fund.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                Date revision received : 03 February 2023
                Date received : 18 April 2022
                Date accepted : 09 February 2023
                Page count
                Figures: 1, Tables: 1, Pages: 46, Words: 14325
                Funding
                Funded by: Nova Institute for Health
                Funded by: University Suburban Health Center for the Wisdom of Practice Study
                Funded by: American Board of Family Medicine Foundation for the Larry A. Green Center for the Advancement of Primary Health Care and for Drs Stange and Etz as Distinguished Scholars
                Funded by: Agency for Healthcare Research and Quality , doi 10.13039/100000133;
                Award ID: 1 R13 HS025312‐01
                Award ID: 1R01 HS28253‐01
                Categories
                Subject: Perspective
                Subject: The U.S. Health Care System
                Custom metadata
                source-schema-version-number 2.0
                cover-date April 2023
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.7 mode:remove_FC converted:25.04.2023

                ScienceOpen disciplines: Social policy & Welfare
                Keywords: population health,primary health care,generalism,general practice,health equity,health expenditures,physician–patient relationship,care integration
                Data availability:
                ScienceOpen disciplines: Social policy & Welfare
                Keywords: population health, primary health care, generalism, general practice, health equity, health expenditures, physician–patient relationship, care integration

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