Excerpts from Fixing The Primary Care Crisis


The Primary Problem with Primary Care—You may think of primary care as going to the doctor with the flu or some other minor problem. In fact, primary care much more. First and foremost, comprehensive primary care is about developing a close relationship between you and your doctor-relationship medicine. Read More.

Edward Jenner

Bringing Back the Human Side of Medicine—Listening is the key and most important attribute of being a good physician in primary care. Listening as being able to focus on a patient's story without rushing him or her, without embellishing it and remaining nonjudgmental. This is the key to developing a strong doctor/patient relationship. Read More.

Compasionate Care

Not All Ills Can Be Cured with a Pill—There is a difference between being a physician and a healer. All societies have healers - wise men and women, shamans, medicine men and people of other names. The "old time practitioner" was almost always a healer but today many physicians are not. It is an issue of interest, training, time and prioritization. Read More.

Operating Room of the Future

Why You and Your PCP Are So Fed Up—PCPs are frustrated, very frustrated. My interviews with them have often resulted in very strong commentary. For example, "I felt like a hamster on a wheel. Patients want time and I could not give it to them. I was in a failed profession." Every PCP said that not having enough time was the greatest frustration of their practice. Read More.

Compasionate Care

Rethinking Care for the Chronically Ill—The diseases that a physician sees today are markedly different than the acute illnesses of years past - the vast majority are chronic illnesses such as heart failure, diabetes and chronic lung disease. These are with us for life, are complex to manage and can be expensive to treat. Read More.


Primary Care Physicians Who Got it Right—Some of the best attempts to improve our current dysfunctional delivery system have been accomplished by primary care physicians themselves. When the PCP reduces the number of patients cared for from 2500-3000+ to a more manageable 500-800, each gets longer visit times, easy access and comprehensive primary care. Read More.


Insurance Providers that Understand the Value of Primary Care —A number of insurers are developing new approaches to primary care that are having a real impact in improving quality while also reducing overall costs. Two examples are CareFirst with a fee for service model and Erickson Living with a Medicare Advantage plan. Read More.


Primary Care-Based Organizations That Are Improving Care—Innovative organizations that are committed to reinvigorating primary care are already developing grass roots interest and advocacy while others are establishing new models of care. Among them are Primary Care Progress, AbsoluteCARE and Iora Health. Read More.


Innovative Employers That Are Reducing Costs and Improving Employee Health—Business CEOs must make healthcare a corporate strategic priority rather than just a HR cost avoidance tactic. Some employers have clinics designed to improve health and maintain wellness of the employee and their families and to assure that they get outstanding comprehensive primary care. Read More.


The Choice is Yours and a Call to Action—In the last pages of the book I provide explicit recommendations as to what each stakeholder can do to convert to a true comprehensive primary healthcare system with this goal: Create a primary care system that offers high quality comprehensive care to a satisfied patient by an enthusiastic and energized physician (or other provider) at a reasonable cost that lowers the total cost of care.Read More.

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Last Modified: April 16, 2015

Copyright (c) Stephen C. Schimpff, MD