Table 3.
Primary Care Providers | Clinic and Health System Administrators | Insurers and Payers | Policymakers | |
---|---|---|---|---|
Personal physician | Familiar concept Highly valued |
Familiar concept Not highly valued |
Familiar concept Not highly valued |
Familiar concept Somewhat valued |
Physician-directed medical practice | Foreign concept May be reluctant to participate in team- based care |
Good understanding of team dynamics and differing roles of primary care team members | Very limited understanding of team-based primary care | Very limited understanding of primary care teams and roles |
Whole-person orientation | Familiar concept Important core value of primary care |
Limited understanding of concept Not highly valued |
Limited understanding of concept Not highly valued |
Some understanding of concept Somewhat valued |
Care is coordinated and/or integrated | Limited understanding of care coordination strategies (patient-level focus) Sometimes part of current practice Variable understanding |
Limited understanding of care coordination strategies (systems-level focus) Some understanding |
Some understanding of concept May not link care coordination to the medical home (caved out services) Highly valued |
Some understanding of concept Limited understanding of quality improvement Not valued |
Quality and safety | Variable desire to participate in new projects Skeptical of new requirements/oversight |
Importance driven by regulatory and licensure requirements | Favor tighter regulation and oversight of primary care to improve quality and safety | Highly valued (regulatory mindset) |
Enhanced access | Well understood Limited support because of overwork of providers in current system |
Well understood Customer-service mentality |
Well understood (emphasis on customer service and costs) May not link to medical home |
Well understood Somewhat valued |
Payment | Very highly valued, of critical importance Skeptical of pay-for-performance |
Very highly valued, of critical importance Skeptical of new payment methodologies |
Very sensitive to rising health care costs Likely to demand proof of value/cost savings |
Extremely sensitive to overall system costs and impact on health care budgets Supportive of demonstrations |