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Primary Care Needs an Overhaul, Report Says

email article WASHINGTON Primary care needs an overhaul if it is going to work the way that it should in the U.S., according to a report from the National Academies of Sciences, Engineering, and Medicine. High-quality primary care is the foundation of a high-functioning healthcare system and is critical for achieving healthcare s quadruple aim (enhancing patient experience, improving population health, reducing costs, and improving the healthcare team experience), noted the 449-page report. Yet, 25 years since the Institute of Medicine (IOM) report Primary Care: America s Health in a New Era, this foundation remains weak and under-resourced, accounting for 35% of healthcare visits while receiving only about 5% of healthcare expenditures. Moreover, the foundation is crumbling: visits to primary care clinicians are declining, and the workforce pipeline is shrinking, with clinicians opting to specialize in more lucrative healthcare fields.

Health Data Sharing Improved During Pandemic, but Barriers Remain

email article The COVID-19 pandemic has encouraged more institutions to share healthcare data, but barriers need to be overcome to make data sharing more commonplace, experts said at an online health data event sponsored by the National Academy of Medicine (NAM). In many ways the pandemic itself was a use case for data sharing and there were many lessons learned, said Nakela Cook, MD, MPH, executive director of the Patient-Centered Outcomes Research Institute, at the event on Thursday. What we probably knew even before the pandemic is that data sharing within and across sectors is really feasible, and it s not prohibited by technical issues it s probably prohibited more by issues of misaligned incentives and ethical, social, and legal issues, which we know are really challenging to work through.

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