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What does family practice need to do next? A cross-generational view.
1Department of Family Medicine, University of Washington, Seattle 98195, USA. jgeyman@u.washington.edu
Family Medicine
|April 27, 2001
Summary
Family practice faces challenges in healthcare reform and specialist shifts. Recommendations include embracing new care models, revising education, and advocating for universal coverage with a generalist primary care physician.
Area of Science:
- Family Medicine
- Primary Care
- Healthcare Systems
Background:
- The evolution of family practice over 60 years.
- Projections for the future of family practice as a discipline.
Purpose of the Study:
- To provide a retrospective and prospective view of family practice.
- To identify key lessons learned and propose future directions.
Main Methods:
- An objective, cross-generational approach.
- Analysis based on available evidence.
Main Results:
- Family medicine has not reformed healthcare systems or education.
- Family practice is one of many primary care options, with a trend towards specialists.
- The US has multiple generalist specialties, unlike other Western nations.
- Primary care specialties follow separate trajectories.
- Significant changes in the healthcare system include managed care, chronic illness burden, and technological advances.
Conclusions:
- Embrace evidence-based medicine, population-based care, and chronic disease management.
- Redesign practice styles and healthcare systems.
- Further differentiate within family practice and revise educational programs.
- Enhance practice-based research and electronic databases.
- Explore a unified generalist discipline and build alliances for healthcare system reform, advocating for universal coverage and a primary care physician for all.
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