This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on ISI (55)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Topic Collections  • Quality of Care, Other  • Medical Practice, Other  • Primary Care/ Family Medicine  • Alert me on articles by topic

Putting the House in Order

Kevin Grumbach, MD; Thomas Bodenheimer, MD

JAMA. 2002;288:889-893.

This article—the first in a series on primary care—outlines the daunting challenges facing primary care today. Most people in the United States desire a primary care "home" to provide for and coordinate their health care needs. Yet primary care is endangered by physician stress, inadequate performance in managing chronic illness, and inability to provide prompt access and reliable continuity of care. Fundamental redesign is needed to improve access to and quality of care while easing physicians' workload without causing major increases in health care costs.

Author Affiliations: Department of Family and Community Medicine, University of California, San Francisco.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Community Care of North Carolina: Improving Care Through Community Health Networks
Steiner et al.
Ann Fam Med 2008;6:361-367.
ABSTRACT | FULL TEXT  

Association Between Living With Children and Adherence to Highly Active Antiretroviral Therapy in the Women's Interagency HIV Study
Merenstein et al.
Pediatrics 2008;121:e787-e793.
ABSTRACT | FULL TEXT  

Coordinating Care -- A Perilous Journey through the Health Care System
Bodenheimer
NEJM 2008;358:1064-1071.
FULL TEXT  

Golden Gate to Health Care for All? San Francisco's New Universal-Access Program
Katz
NEJM 2008;358:327-329.
FULL TEXT  

Clinical outcomes of patients with diabetes mellitus receiving medication management by pharmacists in an urban private physician practice
Nkansah et al.
Am J Health Syst Pharm 2008;65:145-149.
ABSTRACT | FULL TEXT  

Primary Care: Can It Solve Employers' Health Care Dilemma?
Sepulveda et al.
Health Aff (Millwood) 2008;27:151-158.
ABSTRACT | FULL TEXT  

A 63-Year-Old Man With Multiple Cardiovascular Risk Factors and Poor Adherence to Treatment Plans
Bodenheimer
JAMA 2007;298:2048-2055.
ABSTRACT | FULL TEXT  

Improving Outcomes for High-Risk Diabetics Using Information Systems
Orzano et al.
J Am Board Fam Med 2007;20:245-251.
ABSTRACT | FULL TEXT  

Competing Demands or Clinical Inertia: The Case of Elevated Glycosylated Hemoglobin
Parchman et al.
Ann Fam Med 2007;5:196-201.
ABSTRACT | FULL TEXT  

The Impacts of Subsidized Health Insurance on Employees' Use of Preventive Health Services
Kahn et al.
Eval Health Prof 2007;30:22-34.
ABSTRACT  

How Can Practice-based Research Contribute to the Elimination of Health Disparities?
Rust and Cooper
J Am Board Fam Med 2007;20:105-114.
ABSTRACT | FULL TEXT  

Patients' views on the quality of health care for rheumatoid arthritis
Lempp et al.
Rheumatology (Oxford) 2006;45:1522-1528.
ABSTRACT | FULL TEXT  

On The Front Lines Of Care: Primary Care Doctors' Office Systems, Experiences, And Views In Seven Countries
Schoen et al.
Health Aff (Millwood) 2006;25:w555-w571.
ABSTRACT | FULL TEXT  

Effect of Primary Health Care Orientation on Chronic Care Management
Schmittdiel et al.
Ann Fam Med 2006;4:117-123.
ABSTRACT | FULL TEXT  

Streamlining Clinical Breast Examination
Goodson et al.
JNCI J Natl Cancer Inst 2005;97:1476-1477.
FULL TEXT  

Delivery of Clinical Preventive Services in Family Medicine Offices
Crabtree et al.
Ann Fam Med 2005;3:430-435.
ABSTRACT | FULL TEXT  

An Empirical Assessment of High-Performing Medical Groups: Results from a National Study
Shortell et al.
Med Care Res Rev 2005;62:407-434.
ABSTRACT  

Practice-Based Research in Primary Care: Facilitator of, or Barrier to, Practice Improvement?
Bodenheimer et al.
Ann Fam Med 2005;3:S28-S32.
ABSTRACT | FULL TEXT  

Comorbidity and the Use of Primary Care and Specialist Care in the Elderly
Starfield et al.
Ann Fam Med 2005;3:215-222.
ABSTRACT | FULL TEXT  

The Future of Generalism in Medicine
Larson et al.
ANN INTERN MED 2005;142:689-690.
FULL TEXT  

The Essential Role of Generalists in Health Care Systems
Ferrer et al.
ANN INTERN MED 2005;142:691-699.
ABSTRACT | FULL TEXT  

Processes for Effective Communication in Primary Care
Weiner et al.
ANN INTERN MED 2005;142:709-714.
ABSTRACT | FULL TEXT  

Doctor-patient relationships in chronic illness: insights from forensic psychiatry
Campbell and McGauley
BMJ 2005;330:667-670.
FULL TEXT  

The Future of Primary Care Medicine
Whitcomb and Cohen
NEJM 2004;351:710-712.
FULL TEXT  

Improving Medication Use for Older Adults: An Integrated Research Agenda
Murray and Callahan
ANN INTERN MED 2003;139:425-429.
ABSTRACT | FULL TEXT  

Electronic Technology: A Spark to Revitalize Primary Care?
Bodenheimer and Grumbach
JAMA 2003;290:259-264.
ABSTRACT | FULL TEXT  

Chronic Illness, Comorbidities, and the Need for Medical Generalism
Grumbach
Ann Fam Med 2003;1:4-7.
FULL TEXT  

Primary care in the United States: Innovations in primary care in the United States * Commentary: What can primary care in the United States learn from the United Kingdom?
Bodenheimer et al.
BMJ 2003;326:796-799.
FULL TEXT  

Challenges Facing Family Practice and Primary Care
Bicket
JAMA 2003;289:298-298.
FULL TEXT  

Challenges Facing Family Practice and Primary Care
Mundinger and Kane
JAMA 2003;289:297-298.
FULL TEXT  

Challenges Facing Family Practice and Primary Care
Omonuwa
JAMA 2003;289:298-298.
FULL TEXT  

Challenges Facing Family Practice and Primary Care
O'Neal
JAMA 2003;289:298-299.
FULL TEXT  

The Movement for Universal Health Insurance: Finding Common Ground
Bodenheimer
Am. J. Public Health 2003;93:112-115.
ABSTRACT | FULL TEXT  

Market Demand Matters
Kisloff and Grumbach
Health Aff (Millwood) 2003;22:283-284.
FULL TEXT  

Improving Primary Care for Patients With Chronic Illness: The Chronic Care Model, Part 2
Bodenheimer et al.
JAMA 2002;288:1909-1914.
ABSTRACT | FULL TEXT  

Improving Primary Care for Patients With Chronic Illness
Bodenheimer et al.
JAMA 2002;288:1775-1779.
ABSTRACT | FULL TEXT