title: The Future of Family Medicine: a collaborative project of the family medicine community.
abstract: BACKGROUND
  Recognizing fundamental flaws in the fragmented US health care systems and the potential of an integrative, generalist approach, the leadership of 7 national family medicine organizations initiated the Future of Family Medicine (FFM) project in 2002. The goal of the project was to develop a strategy to transform and renew the discipline of family medicine to meet the needs of patients in a changing health care environment.
  
  
  METHODS
  A national research study was conducted by independent research firms. Interviews and focus groups identified key issues for diverse constituencies, including patients, payers, residents, students, family physicians, and other clinicians. Subsequently, interviews were conducted with nationally representative samples of 9 key constituencies. Based in part on these data, 5 task forces addressed key issues to meet the project goal. A Project Leadership Committee synthesized the task force reports into the report presented here.
  
  
  RESULTS
  The project identified core values, a New Model of practice, and a process for development, research, education, partnership, and change with great potential to transform the ability of family medicine to improve the health and health care of the nation. The proposed New Model of practice has the following characteristics: a patient-centered team approach; elimination of barriers to access; advanced information systems, including an electronic health record; redesigned, more functional offices; a focus on quality and outcomes; and enhanced practice finance. A unified communications strategy will be developed to promote the New Model of family medicine to multiple audiences. The study concluded that the discipline needs to oversee the training of family physicians who are committed to excellence, steeped in the core values of the discipline, competent to provide family medicine's basket of services within the New Model, and capable of adapting to varying patient needs and changing care technologies. Family medicine education must continue to include training in maternity care, the care of hospitalized patients, community and population health, and culturally effective and proficient care. A comprehensive lifelong learning program for each family physician will support continuous personal, professional, and clinical practice assessment and improvement. Ultimately, systemwide changes will be needed to ensure high-quality health care for all Americans. Such changes include taking steps to ensure that every American has a personal medical home, promoting the use and reporting of quality measures to improve performance and service, advocating that every American have health care coverage for basic services and protection against extraordinary health care costs, advancing research that supports the clinical decision making of family physicians and other primary care clinicians, and developing reimbursement models to sustain family medicine and primary care practices.
  
  
  CONCLUSIONS
  The leadership of US family medicine organizations is committed to a transformative process. In partnership with others, this process has the potential to integrate health care to improve the health of all Americans.
authors.affiliation: Family Practice Residency Program,CHRISTUS Santa Rosa Health Care, San Antonio, Tex, USA.
authors.forename: James C
authors.initials: JC
authors.lastname: Martin
authors.forename: Robert F
authors.initials: RF
authors.lastname: Avant
authors.forename: Marjorie A
authors.initials: MA
authors.lastname: Bowman
authors.forename: John R
authors.initials: JR
authors.lastname: Bucholtz
authors.forename: John R
authors.initials: JR
authors.lastname: Dickinson
authors.forename: Kenneth L
authors.initials: KL
authors.lastname: Evans
authors.forename: Larry A
authors.initials: LA
authors.lastname: Green
authors.forename: Douglas E
authors.initials: DE
authors.lastname: Henley
authors.forename: Warren A
authors.initials: WA
authors.lastname: Jones
authors.forename: Samuel C
authors.initials: SC
authors.lastname: Matheny
authors.forename: Janice E
authors.initials: JE
authors.lastname: Nevin
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Panther
authors.forename: James C
authors.initials: JC
authors.lastname: Puffer
authors.forename: Richard G
authors.initials: RG
authors.lastname: Roberts
authors.forename: Denise V
authors.initials: DV
authors.lastname: Rodgers
authors.forename: Roger A
authors.initials: RA
authors.lastname: Sherwood
authors.forename: Kurt C
authors.initials: KC
authors.lastname: Stange
authors.forename: Cynthia W
authors.initials: CW
authors.lastname: Weber
mesh_terms: D000555:Ambulatory Care Information Systems; D003299:Cooperative Behavior; D004502:Education, Medical, Continuing; D005194:Family Practice / Q000193:education / Q000458:organization & administration* / Q000639:trends; D017144:Focus Groups; D005544:Forecasting; D006302:Health Services Research / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D016347:Medical Records Systems, Computerized; D017146:Models, Organizational; D018802:Patient-Centered Care; D011320:Primary Health Care / Q000458:organization & administration* / Q000639:trends; D011785:Quality Assurance, Health Care; D014481:United States