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Washington, DC: National Academy Press 2001.ĭavis K, Schoen C, Schoenbaum SC. Crossing the Quality Chasm: A New Health System for the 21st Century, Vol. A major effort to test this concept, develop a business case, provide technical assistance and training, and diffuse best practices is needed to transform American health care. To bring about marked improvement will require a new system of primary care payment that blends monthly patient panel fees with traditional fee-for-service payment, and new incentives for patient-centered care performance. The Commonwealth Fund 2003 National Survey of Physicians and Quality of Care finds that one fourth of primary care physicians currently incorporate these various patient-centered attributes in their practices. Seven attributes of patient-centered primary care are proposed here to improve this dimension of care: access to care, patient engagement in care, information systems, care coordination, integrated and comprehensive team care, patient-centered care surveys, and publicly available information. Patient-centered care has received new prominence with its inclusion by the Institute of Medicine as 1 of the 6 aims of quality.

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