1. What is the decision or change (e.g. clinical topic, practice guideline, system design, delivery of care) you are facing or struggling with where a summary of the evidence would be helpful?

The US health care design has shaped very different primary care over the last decades in areas such as primary care experience. This is primarily due to new sources of primary care such as nurse practitioners and physician assistants and due to ever lower levels of retention in primary care across all sources.

2. Why are you struggling with this issue?

The research in primary care has been focused on Type 1 Micromanagement Cost Cutting and Type 2 Micromanagement Quality Improvement. The lack of primary care research funding means that AHRQ has a huge influence as seen in the 117 million for Quality Improvement

3. What do you want to see changed? How will you know that your issue is improving or has been addressed?

Delivery teams with more experience would appear to be preferable to those with less experience, but this should be studied.

A return to designs that support local health care and delivery team members seems to be in order.

A much better financial design should also result in better continuity and better primary care experience in the delivery team members.

4. When do you need the evidence report?

Mon, 01/01/2024

5. What will you do with the evidence report?

Work to improve health access for most Americans most behind

Supporting Documentation

Primary Care Experience (Word, 180 KB)

Optional Information About You

What is your role or perspective? Basic health access researcher

May we contact you if we have questions about your nomination? Yes