title: Holding On and Letting Go: A Perspective from the Keystone IV Conference.
abstract: This commentary examines what it might look like to be countercultural in the current era of health care change, and asks what we should hold onto and what we should let go of as we reinvent an ideal that gives meaning to family physicians and value to patients and populations - that primary health care is a relationship to be nurtured and supported, not just a commodity to be delivered and optimized, measured and incentivized, bought and sold.
authors.affiliation: From the Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH. kcs@case.edu.
authors.forename: Kurt C
authors.initials: KC
authors.lastname: Stange
mesh_terms: D005194:Family Practice / Q000379:methods* / Q000639:trends; D006801:Humans; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000523:psychology*; D011320:Primary Health Care / Q000379:methods* / Q000639:trends; D011787:Quality of Health Care
keywords: Doctoring; Family Medicine; Family Physician; Health Care Delivery; Personal Physician; Population Health; Primary care; Professionalism; Social Justice