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Peer-Reviewed Publication
J Gen Intern Med2023;38(8):1975-1979.June 1, 2023Editorial

From Revolution to Evolution: Early Experience with Virtual-First, Outcomes-Based Primary Care.

Andrew Ellner1,2, Nisha Basu1, Russell S Phillips3,4
1Firefly Health, Watertown, USA.
2Center for Primary Care, Harvard Medical School, Boston, MA, USA.
3Center for Primary Care, Harvard Medical School, Boston, MA, USA. russell_phillips@hms.harvard.edu.
4Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA. russell_phillips@hms.harvard.edu.

Abstract

Primary care is foundational to health systems and a common good. The workforce is threatened by outdated approaches to organizing work, payment, and technology. Primary care work should be restructured to support a team-based model, optimized to efficiently achieve the best population health outcomes. In a virtual-first, outcomes-based primary care model, a majority of professional time for prima…

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