title: Primary care in the age of reform-not a time for complacency.
abstract: Improving opportunities for primary care are evident in the evolving health care marketplace. Yet a secure and meaningfully scaled role in the future for family medicine and primary care is not assured. Family medicine can help lead the primary care movement now-from both clinical and policy perspectives-by energetically embracing newly emerging care options rather than becoming complacent or defensive. Avoiding complacency means: (1) improving assessment and intervention for social and health system complexity (our complex patients), (2) regarding primary care as a way of operating, not as a geographical place-even with the name medical home in place, (3) coordinating with dedicated mobile teams for our most complex and costly patients, and (4) improving leadership competence at a level required for transformation, not just maintenance.
authors.affiliation: Department of Family Medicine and Community Health, University of Minnesota.
authors.forename: Macaran A
authors.initials: MA
authors.lastname: Baird
mesh_terms: D003695:Delivery of Health Care / Q000379:methods* / Q000458:organization & administration; D005194:Family Practice / Q000592:standards; D018166:Health Care Reform; D006291:Health Policy; D006801:Humans; D007857:Leadership; D010043:Outcome and Process Assessment, Health Care; D018802:Patient-Centered Care; D011320:Primary Health Care / Q000592:standards