December 3, 2012: The Changing Paradigm for Outpatient Care
The present model has the primary care physician as the provider and gatekeeper of patient care. They evaluate the patient, obtain consultation, admit to the hospital (the hospitalists have taken over this role), and are the general coordinators of care. However, this model in theory works well; it has proven to be ineffective. This is no criticism of the concept but the complexity of modern medicine has made this very difficult for the average family practice unit.
- Lack of duplication of hard assets
- Patients already prefer the ED
- Coordination of care