title: Optimizing health for complex adults in primary care: current challenges and a way forward.
abstract: As the population ages, the quantity and complexity of comorbidities only increases in the primary care setting. Health systems strive to improve quality of care and enhance cost savings, but current administrative and payment systems do not easily support the implementation of existing evidence and best practices for multimorbid adults in most primary care offices. This perspectives piece sets forth a research agenda in the area of implementation science at the intersection of geriatrics and general internal medicine. We challenge academic medical centers, medical societies, journals, and funders to actively value and support investigation in this area as much as traditional research pathways.
authors.affiliation: Division of General Internal Medicine, University of Pittsburgh Medical Center, 3550 Terrace Street, M211 Scaife Hall, Pittsburgh, PA, 15261, USA, dayh@upmc.edu.
authors.forename: Hollis
authors.initials: H
authors.lastname: Day
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Eckstrom
authors.forename: Sei
authors.initials: S
authors.lastname: Lee
authors.forename: Heidi
authors.initials: H
authors.lastname: Wald
authors.forename: Steven
authors.initials: S
authors.lastname: Counsell
authors.forename: Eugene
authors.initials: E
authors.lastname: Rich
mesh_terms: D000368:Aged; D055317:Evidence-Based Practice; D005853:Geriatrics / Q000379:methods / Q000592:standards; D006801:Humans; D017146:Models, Organizational; D010347:Patient Care Planning / Q000592:standards; D018802:Patient-Centered Care / Q000379:methods / Q000592:standards; D011320:Primary Health Care / Q000379:methods / Q000592:standards; D058996:Quality Improvement / Q000458:organization & administration