Health Care Reform 2009

From the Publishers of the New England Journal of Medicine

Primary Care rss

Primary Care and Accountable Care — Two Essential Elements of Delivery-System Reform(0)

October 28, 2009

Diane R. Rittenhouse, M.D., M.P.H., Stephen M. Shortell, Ph.D., M.P.H., M.B.A., and Elliott S. Fisher, M.D., M.P.H.
With discussions about U.S. health care reform focused heavily on insurance reforms, relatively little attention has been paid to the delivery-system reforms that will be required to improve the quality and coordination of health care and slow the growth [...]

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Ensuring Progress in Primary Care — What Can Health Care Reform Realistically Accomplish?

Dave A. Chokshi, M.D.
In the current political environment, forging consensus on health care reform has proven challenging. Yet the value of a strengthened primary care infrastructure is one apparent zone of agreement among policymakers. Leading professional societies have converged upon principles for restructuring primary health care in their support of the patient-centered medical home (see [...]

Reform and the Health Care Workforce — Current Capacity, Future Demand

John K. Iglehart
As Democrats press to enact health care reform legislation, they have emphasized their commitment to greatly expanding coverage, slowing the growth of medical spending, and more tightly regulating private insurers, if not also creating a competing public insurance option. But among the major questions that their policy prescription leaves unanswered is, How would [...]

Effects of Pay for Performance on the Quality of Primary Care in England

Stephen M. Campbell, Ph.D., David Reeves, Ph.D., Evangelos Kontopantelis, Ph.D., Bonnie Sibbald, Ph.D., and Martin Roland, D.M.
In 2004, England introduced a pay-for-performance system to reward family physicians for achieving clinical-quality targets. This analysis of the quality of care for coronary heart disease, asthma, and diabetes from 1998 through 2007 shows


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