About the Author WHAT DO YOU THINK Downloaded from the Family Practice Management JulyAugust 2009wwwaafporgfpmFAMILY PRACTICE MANAGEMENTFirst contact care Personfocused care over time Comprehe ID: 943974
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FAMILY PRACTICE MANAGEMENTwww.aafp.org/fpmJuly/August 2009OPINIONFamily Medicine Should Shape Reform, Not Vice VersaMD, MPHIf the PCMH represents good primary care, why isnt it de“ned by the criteria of good primary care? About the Author WHAT DO YOU THINK? Downloaded from the Family Practice Management July/August 2009www.aafp.org/fpmFAMILY PRACTICE MANAGEMENTFirst contact care, Person-focused care over time Comprehensiveness of care, Coordination of care over time 3. Reject pay for performance (P4P) in primary care unless it is tied to generic improvements in patient health 4. Advocate for governmental and private policies that build a strong infrastructure for primary care practice. This means taking an active stand on issues that in”uence the supply of primary care physicians and that provide for more and better training of such physicians outside the ent in the community, not as they are referred to academic teaching centers) and advocating for training that goes beyond the diagnosis and management of speci“c diseases Send comments to fpmedit@aafp.org.1. Rosenberg CE. The tyranny of diagnosis: speci“c entities and indi-vidual experience. Milbank Q. 2002;80:237-260.2. Slee VN, Slee D, Schmidt HJ. The tyranny of the diagnosis code. NC Med J. 2005;66:331-337.3. Heath I. Combating disease mongering: daunting but nonetheless essential. PLoS Med. 2006;3(4):e146.4. Moynihan R, Heath I, Henry D. Selling sickness: the pharmaceutical industry and disease mongering. BMJ. 2002;324:886-891.5. Moynihan R, Henry D. The “ght against disease mongering: ge
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