The Political Economy Of U.S. Primary Care
Health AffairsPublished 1 July 2009
Lewis G. Sandy, Thomas Bodenheimer, L. Gregory Pawlson, Bárbara Starfield
Citations68
SJR quartileQ1
SJR score4.46
SNIP3.04
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TL;DR
There are grounds for optimism for the success of a large-scale, multifaceted effort to achieve health outcomes and health system performance comparable to those of other industrialized nations.
Abstract
Compelling evidence suggests that the United States lags behind other developed nations in the health of its population and the performance of its health care system, partly as a result of a decades-long decline in primary care. This paper outlines the political, economic, policy, and institutional factors behind this decline. A large-scale, multifaceted effort--a new Charter for Primary Care--is required to overcome these forces. There are grounds for optimism for the success of this effort, which is essential to achieving health outcomes and health system performance comparable to those of other industrialized nations.
Keywords
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