Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Primary care at a crossroads.

Steven A Schroeder1

  • 1Dr. Schroeder is president and chief executive officer, The Robert Wood Johnson Foundation, Princeton, New Jersey 08543-2316, USA.

Academic Medicine : Journal of the Association of American Medical Colleges
|August 15, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Tobacco Dependence Treatment Is Critical to Excellence in Health Care.

JAMA internal medicine·2020
Same author

California Promotes Smoking Cessation for Medicaid Enrollees: Lessons for the Nation?

American journal of preventive medicine·2018
Same author

The U.S. Food and Drug Administration's Dilemma: How Tightly to Regulate Electronic Cigarettes?

Annals of internal medicine·2018
Same author

Heavier but Healthier - Diabetes and Smoking Cessation.

The New England journal of medicine·2018
Same author

Helping Smokers Quit: The Smoking Cessation Leadership Center Engages Behavioral Health by Challenging Old Myths and Traditions.

Journal of psychoactive drugs·2017
Same author

Helping Smokers Quit: New Partners and New Strategies from the University of California, San Francisco Smoking Cessation Leadership Center.

Journal of psychoactive drugs·2017
Same journal

Ten-year outcomes from the Columbia-Bassett program: a model for strengthening the underserved health workforce.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

Artificial intelligence teaching assistants: a scalable solution for supporting struggling medical students.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

MDCU MedUMORE: a national digital platform for equitable and lifelong medical education in Thailand and beyond.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

The Minority Ophthalmology Mentoring Program: A Model for Increasing Diversity in Surgical Specialties.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

Toward a global ecosystem for health professions education: harnessing open educational resources and generative AI with shared governance.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

Associations of marital status with well-being and career intentions among medical residents: a national survey in Japan.

Academic medicine : journal of the Association of American Medical Colleges·2026
See all related articles

Primary care faces significant challenges due to specialization and reimbursement policies. However, focusing on cost, quality, and convenience could create a vital niche for generalist physicians.

Area of Science:

  • Health Policy
  • Medical Education
  • Health Services Research

Background:

  • Primary care is currently beleaguered by increased specialization, income disparities, managed care, and reduced Medicare/Medicaid payments.
  • Medical student interest in primary care is declining, evidenced by lower residency match rates.
  • Factors such as pro-specialist reimbursement, research funding, specialist role models, and knowledge demands hinder generalist practice.

Purpose of the Study:

  • To analyze the challenges facing primary care.
  • To explore the potential for generalist physicians to find a niche in the evolving healthcare marketplace.
  • To examine the influence of the under-65 population and consumer willingness to pay on primary care's future.

Main Methods:

  • Qualitative analysis of current healthcare trends and economic factors impacting primary care.

Related Experiment Videos

  • Discussion of policy implications and the role of academic medicine.
  • Predictive scenario modeling based on patient affluence and healthcare service demands.

    • Main Results:

    • Pro-specialist reimbursement, research funding, and role model dominance create significant barriers for primary care.
    • Cost, quality, and convenience are identified as potential drivers for creating a niche for primary care services.
    • Academic medicine faces pressure but must recommit to training generalists.

    Conclusions:

    • The future viability of primary care depends on its ability to adapt to market demands and demonstrate value.
    • Failure of generalism in the market could lead to a significant loss in healthcare, potentially necessitating its "reinvention."
    • Family practice, internal medicine, and pediatrics must address specific challenges to ensure their future success.