Training the Primary Healthcare Team for Transformed Practices

摘要

Sweeping changes are taking place in American health- care, with new practice models rapidly emerging such as Patient Centered Medical Homes and Accountable Care Organizations. Payment mechanisms, so long based on fee for service, are being augmented and in some cases supplanted by "per member per month" and "pay for per- formance" approaches, as risk contracts become more common – and normative. Is the health workforce ready for these changes. What professional skills and com- petencies are needed for "transformed practices." This paper addresses these questions, examining the current state of training for the health professions today, explor- ing the development of skills, attitudes, and knowledge across the educational continuum, and suggesting future directions for professional development.