title: Applying organizational behavior theory to primary care.
abstract: Addressing the mounting primary care shortage in the United States has been a focus of educators and policy makers, especially with the passage of the Affordable Care Act in 2010 and the Medicare Access and CHIP Reauthorization Act in 2015, placing increased pressure on the system. The Association of American Medical Colleges recently projected a shortage of as many as 65,000 primary care physicians by 2025, in part because fewer than 20% of medical students are picking primary care for a career. We examined the issue of attracting medical students to primary care through the lens of organizational behavior theory. Assuming there are reasons other than lower income potential for why students are inclined against primary care, we applied various principles of the Herzberg 2-factor theory to reimagine the operational flow and design of primary care. We conclude by proposing several solutions to enrich the job, such as decreasing documentation requirements, reducing the emphasis on specialty consultations, and elevating physicians to a supervisory role.
authors.affiliation: Department of Internal Medicine, University of Michigan Health System, 1500 E Medical Center Drive, Ann Arbor, MI 48109. E-mail: smullang@med.umich.edu.
authors.forename: Samyukta
authors.initials: S
authors.lastname: Mullangi
authors.forename: Sanjay
authors.initials: S
authors.lastname: Saint
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D009936:Organizational Innovation; D058991:Patient Protection and Affordable Care Act; D010560:Personnel Selection; D010563:Personnel Turnover; D058007:Physicians, Primary Care / Q000600:supply & distribution*; D011582:Psychological Theory; D013337:Students, Medical / Q000523:psychology*; D014481:United States