NEJM February 22, 2021
Pratik Pinal Doshi, BS, MS, Satasuk Joy Bhosai, MD, MPH, Don Goldmann, MD & Krishna Udayakumar, MD, MBA

Lessons from provider organizations in Mexico, sub-Saharan Africa, Nepal, and Rwanda offer examples of approaches that can be adopted to improve primary and preventive care in the United States.

Summary

An analysis by Duke Global Health researchers at Innovations in Healthcare reveals innovative approaches to primary care delivery by providers in countries across the globe. The focus is on systems that embrace accountable care frameworks within four major domains: care delivery innovations, patient-centered organizational competencies, streamlined organizational policies, and alternative financing and payment models. Successes by these organizations may inform and influence current and future public health and primary care practices in the United States.

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