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Primary Healthcare Services

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Managed Care System:
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Secondary Healthcare System

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Updated: Jun 25, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

How can primary care cross the quality chasm?

Leif I Solberg¹, Kurtis S Elward, William R Phillips

¹Health Partners, Minneapolis, Minnesota 55440-1524, USA. leif.i.solberg@healthpartners.com

Annals of Family Medicine

|March 11, 2009

Summary

Bridging the knowledge-practice gap in primary care requires addressing critical divides in research, funding, and quality improvement (QI). Key changes include unified action on quality issues and a shift towards optimizing health through integrated research and QI.

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Last Updated: Jun 25, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Healthcare Systems Research
Primary Care Medicine
Knowledge Translation

Background:

The Institute of Medicine (IOM) identified a significant gap between medical knowledge and its practical application in healthcare.
This knowledge-practice gap stems from unaddressed divides, including what is known versus what is needed, disconnects between primary care providers and research support, and a separation between research and quality improvement (QI).

Purpose of the Study:

To identify the underlying causes of the knowledge-practice gap in primary care.
To propose necessary changes to facilitate the production and utilization of knowledge for improving primary care.
To advocate for a paradigm shift in how research and quality improvement are integrated.

Main Methods:

The study analyzes the multifaceted "chasms" contributing to the knowledge-practice gap.
It examines problematic concepts, attitudes, traditions, time frames, and financing that hinder progress.
Recommendations are based on a conceptual analysis of systemic barriers.

Main Results:

The knowledge-practice gap is perpetuated by several key divides: knowledge deficits, lack of support for primary care research, and the separation of research from QI.
Existing approaches to research and practice are hampered by outdated concepts, attitudes, and funding models.
Significant systemic changes are required to bridge these gaps.

Conclusions:

Addressing the knowledge-practice gap necessitates unified acknowledgment of quality issues across primary care professions.
A paradigm shift from "translate research into practice" to "optimizing health and health care through research and QI" is crucial.
Fostering partnerships, modifying research/funding agendas, and facilitating dissemination of QI and research findings are essential for progress.