title: Primary Care Practice Transformation and the Rise of Consumerism.
abstract: Americans are increasingly demanding the same level of service in healthcare that they receive in other services and products that they buy. This rise in consumerism poses challenges for primary care physicians as they attempt to transform their practices to succeed in a value-based reimbursement landscape, where they are rewarded for managing costs and improving the health of populations. In this paper, three examples of consumer-riven trends are described: retail healthcare, direct and concierge care, and home-based diagnostics and care. For each, the intersection of consumer-driven care and the goals of value-based primary care are explored. If the correct payment and connectivity enablers are in place, some examples of consumer-driven care are well-positioned to support primary care physicians in their mission to deliver high-quality, efficient care for the populations they serve. However, concerns about access and equity make other trends less consistent with that mission.
authors.affiliation: UPMC Health Plan, U.S. Steel Tower, 55th Floor, 600 Grant Street, Pittsburgh, PA, 15219, USA. shrankwh@upmc.edu.
authors.forename: William H
authors.initials: WH
authors.lastname: Shrank
mesh_terms: D000068977:Concierge Medicine / Q000458:organization & administration / Q000639:trends; D003258:Consumer Behavior; D003695:Delivery of Health Care / Q000458:organization & administration / Q000639:trends*; D006699:Home Care Services / Q000458:organization & administration / Q000639:trends; D006801:Humans; D057240:Patient Preference; D011320:Primary Health Care / Q000458:organization & administration / Q000592:standards / Q000639:trends*; D011365:Professional Practice Location / Q000639:trends; D011787:Quality of Health Care; D014481:United States