scholarly journals Redesigning Family Medicine Training to Meet the Emerging Health Care Needs of Patients and Communities:

2021 ◽  
Author(s):  
Norman B. Kahn
Keyword(s):  
Health Care ◽  
Chronic Illness ◽  
Family Medicine ◽  
Family Physicians ◽  
Cost Of Care ◽  
Health Care Needs ◽  
Usual Source Of Care ◽  
Care Needs ◽  
Usual Source ◽  
Source Of Care

This paper reflects a vision of how family medicine residency training will be redesigned to prepare graduates to meet the health care needs of their patient populations and regional communities. Family physicians are needed to serve as personal physicians and as the patient’s usual source of care, as recognized in historic documents that have defined the specialty’s enduring role in society as the foundation of the health care system. Modern residency practices will include residents as junior partners and members of multidisciplinary faculty teams. Residency practices will measure and improve care consistent with the triple aim: enhancing the experience of care for patients, improving outcomes of care for populations, and reducing waste and the cost of care in the system.Curricula will include core elements of the roles of family physicians, including the development of therapeutic relationships with patients and families, recognizing patients’ needs and expectations, professionalism, the identification and management of acute and chronic illness, maternity care, and the care of hospitalized patients. Also included will be emerging expectations of family physicians, including team roles, expanded care through telehealth and patient portals, identifying and intervening in modifiable social determinants of health, addressing structural racism, closing gaps of inequitable care for their patient populations, managing addiction as a treatable chronic illness, improving performance through clinical data registries, personalized medicine, and leadership. Wellness and assurance of a satisfying career will be a priority focus of preparation for career-long practice. Residents will become competent in the comprehensive scope of practice needed to serve in the role of continuous personal physician on multidisciplinary teams that serve as the usual source of care for populations in regions where the residencies are located.  

The Financial Implications of Availability and Quality of a Usual Source of Care for Children with Special Health Care Needs

2007 ◽  
Vol 12 (2) ◽  
pp. 243-259 ◽  
Author(s):  
Chia-Ling Liu ◽  
Alan M. Zaslavsky ◽  
Michael L. Ganz ◽  
James Perrin ◽  
Steven Gortmaker ◽  
...  
Keyword(s):  
Health Care ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Usual Source Of Care ◽  
Care Needs ◽  
Special Health Care ◽  
Usual Source ◽  
Source Of Care ◽  
Special Health

Usual Source of Care and Unmet Health Care Needs

Medical Care ◽  
2014 ◽  
Vol 52 ◽  
pp. S40-S50 ◽  
Author(s):  
Willi Horner-Johnson ◽  
Konrad Dobbertin
Keyword(s):  
Health Care ◽  
Health Care Needs ◽  
Usual Source Of Care ◽  
Care Needs ◽  
Usual Source ◽  
Source Of Care ◽  
Unmet Health Care Needs

scholarly journals States with fewer criminalizing immigrant policies have smaller health care inequities between citizens and noncitizens

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Maria-Elena De Trinidad Young ◽  
Hiram Beltrán-Sánchez ◽  
Steven P. Wallace
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
State Level ◽  
Comparative Approach ◽  
Usual Source Of Care ◽  
Data Set ◽  
Logistic Regression Models ◽  
Usual Source ◽  
Care Access ◽  
Source Of Care

Abstract Background In the last thirty years, major shifts in immigrant policy at national and state levels has heightened boundaries among citizens, permanent residents, and those with other statuses. While there is mounting evidence that citizenship influences immigrant health care inequities, there has been less focus on how policies that reinforce citizenship stratification may shape the extent of these inequities. We examine the extent to which the relationship between citizenship and health care inequities is moderated by state-level criminalization policies. Methods Taking a comparative approach, we assess how distinct criminalization policy contexts across US states are associated with inequitable access to care by citizenship status. Utilizing a data set with state-level measures of criminalization policy and individual-level measures of having a usual source of care from the National Health Interview Survey, we use mixed-effects logistic regression models to assess the extent to which inequities in health care access between noncitizens and US born citizens vary depending on states’ criminalization policies. Results Each additional criminalization policy was associated with a lower odds that noncitizens in the state had a usual source of care, compared to US born citizens. Conclusion Criminalization policies shape the construction of citizenship stratification across geography, such as exacerbating inequities in health care access by citizenship.

Impact of a Usual Source of Care on Health Care Use, Spending, and Quality Among Adults With Mental Health Conditions

2017 ◽  
Vol 45 (3) ◽  
pp. 462-471 ◽  
Author(s):  
Catherine A. Fullerton ◽  
Whitney P. Witt ◽  
Clifton M. Chow ◽  
Manjusha Gokhale ◽  
Christine E. Walsh ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Use ◽  
Health Conditions ◽  
Usual Source Of Care ◽  
Mental Health Conditions ◽  
Usual Source ◽  
Source Of Care

scholarly journals Parent and Child Usual Source of Care and Children's Receipt of Health Care Services

2011 ◽  
Vol 9 (6) ◽  
pp. 504-513 ◽  
Author(s):  
J. E. DeVoe ◽  
C. J. Tillotson ◽  
L. S. Wallace ◽  
H. Angier ◽  
M. J. Carlson ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Care Services ◽  
Source Of Care

scholarly journals Association Between Parental Barriers to Accessing a Usual Source of Care and Children’s Receipt of Preventive Services

2017 ◽  
Vol 132 (3) ◽  
pp. 316-325 ◽  
Author(s):  
John Bellettiere ◽  
Emmeline Chuang ◽  
Suzanne C. Hughes ◽  
Isaac Quintanilla ◽  
C. Richard Hofstetter ◽  
...  
Keyword(s):  
Health Care ◽  
Preventive Health Services ◽  
Preventive Services ◽  
Preventive Health ◽  
Attitudes And Beliefs ◽  
Usual Source Of Care ◽  
Well Child Care ◽  
Usual Source ◽  
Source Of Care ◽  
Parental Barriers

Objectives: Preventive health services are important for child development, and parents play a key role in facilitating access to services. This study examined how parents’ reasons for not having a usual source of care were associated with their children’s receipt of preventive services. Methods: We used pooled data from the 2011-2014 National Health Interview Survey (n = 34 843 participants). Parents’ reasons for not having a usual source of care were framed within the Penchansky and Thomas model of access and measured through 3 dichotomous indicators: financial barriers (affordability), attitudes and beliefs about health care (acceptability), and all other nonfinancial barriers (accessibility, accommodation, and availability). We used multivariable logistic regression models to test associations between parental barriers and children’s receipt of past-year well-child care visits and influenza vaccinations, controlling for other child, family, and contextual factors. Results: In 2014, 14.3% (weighted percentage) of children had at least 1 parent without a usual source of care. Children of parents without a usual source of care because they “don’t need a doctor and/or haven’t had any problems” or they “don’t like, trust, or believe in doctors” had 35% lower odds of receiving well-child care (adjusted odds ratio = 0.65; 95% CI, 0.56-0.74) and 23% lower odds of receiving influenza vaccination (adjusted odds ratio = 0.77; 95% CI, 0.69-0.86) than children of parents without those attitudes and beliefs about health care. Financial and other nonfinancial parental barriers were not associated with children’s receipt of preventive services. Results were independent of several factors relevant to children’s access to preventive health care, including whether the child had a usual source of care. Conclusions: Parents’ attitudes and beliefs about having a usual source of care were strongly associated with their children’s receipt of recommended preventive health services. Rates of receipt of child preventive services may be improved by addressing parents’ attitudes and beliefs about having a usual source of care. Future studies should assess causes of these associations.

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