Quarterly Topic

Primary Care

Content Type:

  • Quarterly Article

    The State of Primary Care in the United States

    September 2026 Robert L. Phillips,  Deborah J. Cohen,  Ethan J. Phillips,  Lauren S. Hughes ,  Andrew W. Bazemore, 

    Primary care is the foundation of a high-functioning health system, yet it has been weakened for decades, and the consequences for patients, population health, and costs are increasingly apparent. More

  • Quarterly Article

    Sufficient and Efficient Spending on Primary Care Benefits National Health and Health Systems

    February 2026 Robert L. Phillips,  Rebecca Fisher,  Claire Jackson,  Danielle Martin,  Tim Olde Hartman,  Felicity Goodyear-Smith, 

    Primary care is the foundation of most health systems; yet across diverse countries, structures, policies, and payment models, it is under threat. More

  • Quarterly Article

    Measuring Primary Care Productivity in the Era of Interprofessional Team Care: Stakeholder, Scoping Review, and Implementation Perspectives

    August 2025 LISA V. RUBENSTEIN,  SYDNE J. NEWBERRY,  ISHITA GHAI,  ANEESA MOTALA,  IDAMAY CURTIS,  PAUL G. SHEKELLE,  TODD H. WAGNER,  L. DIEM TRAN,  STEPHEN D. FIHN,  KARIN M. NELSON, 

    Current primary care productivity measures do not account for investment in interprofessional primary care teams in relation to primary care goals and thus are insufficient for assessing and improving primary care efficiency and productivity. We explored alternative productivity measurement methods. More

  • Quarterly Article

    How Are You Doing… Really? A Review of Whole Person Health Assessments

    January 2025 Stephanie B. Gold,  Allison Costello,  Maura Gissen,  Selin Odman,  Larry A. Green,  Kurt C. Stange,  Réna Swann,  Rebecca S. Etz, 

    To provide a foundation for assessing whole person health and support further instrument development, this review summarizes past work on assessing person-reported whole health, articulates conceptual domains encompassing whole health, and identifies lessons from existing instruments, including considerations for administration. More

  • Quarterly Article

    Comprehensiveness in Primary Care: A Scoping Review

    December 2024 Agnes Grudniewicz,  Ellen Randall,  Lori Jones,  Aidan Bodner,  M. Ruth Lavergne, 

    This scoping review explored how comprehensiveness in primary care is conceptualized and defined in order to map its attributes in support of being able to more clearly and precisely define this key concept in research, practice, and policy. More

  • Quarterly Opinion

    Connecting Public Health and Primary Care: The Prevention and Public Health Fund Redux

    January 2024 Marianne Udow-Phillips,  Samantha Iovan,  Peter D. Jacobson, 

    The imbalance in US health spending between public health and medical care is no secret. For example, of the more than $3.8 trillion in US health… More

  • Quarterly Article

    The Role of Primary Care in Advancing Civic Engagement and Health Equity: A Conceptual Framework

    June 2023 Daniel R. S. Habib,  Lauren M. Klein,  Eliana M. Perrin,  Andrew J. Perrin,  Sara B. Johnson, 

    Primary care is a potentially fruitful setting for cultivating community and individual health and power by supporting social connectedness, self-efficacy, and collective action. More

  • Quarterly Article

    Measuring Trust in Primary Care

    May 2023 Zachary Merenstein,  Jill C. Shuemaker,  Robert L. Phillips, 

    Context: Trust is a fundamental aspect of any human relationship, and medical care is no exception. An ongoing, trusting relationship between… More

  • Quarterly Article

    The Role of Primary Care in Improving Population Health

    April 2023 Kurt C. Stange,  William L. Miller,  Rebecca S. Etz, 

    How primary care might influence population health by serving as a force for integration across the often fragmented systems. More

  • Quarterly Article

    Economic Aspects of Delivering Primary Care Services: An Evidence Synthesis to Inform Policy and Research Priorities

    September 2021 Lorcan Clarke,  Michael Anderson,  Rob Anderson,  Morten Bonde Klausen,  Rebecca Forman,  Jenna Kerns,  Adrian Rabe,  Søren Rud Kristensen,  Pavlos Theodorakis,  Jose Valderas,  Hans Kluge,  Elias Mossialos, 

    In 2018, the Declaration of Astana renewed goals set forth 40 years earlier by the World Health Organization and the United Nations’ Children Fund regarding the importance of primary health coverage in achieving universal health coverage. However, policymakers are often unclear how best to use primary care resources for maximum economic impact. In this overview of systemic reviews, Lorcan Clarke from the London School of Economics and Trinity College Dublin and colleagues finds that specific task shifting among different health care workers, telemedicine, longer primary care consultations, and pay for performance mechanisms are some of the strategies that can have positive economic effects. More