Redistributing Residencies to Primary Care and General Surgery

We need to move away from systems that pay for episodic care and toward payment mechanisms that recognize the value of care coordination. We need to value the hallmarks of the Patient-Centered Medical Home: first-contact access, patient-focused care over time, comprehensive and coordinated care, family orientation, community orientation, and cultural competency.

This column, "Implementing Health Reform," regularly appears in Internal Medicine News, an Elsevier publication.