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Optimizing Health for Complex Adults in Primary Care: Current Challenges and a Way Forward |
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| Authors: | Hollis Day MD MS Elizabeth Eckstrom MD MPH Sei Lee MD MCR Heidi Wald MD MPH Steven Counsell MD Eugene Rich MD |
| Affiliation: | 1. Division of General Internal Medicine, University of Pittsburgh Medical Center, 3550 Terrace Street, M211 Scaife Hall, Pittsburgh, PA, 15261, USA 2. Division of General Internal Medicine & Geriatrics, Oregon Health & Science University, Portland, OR, USA 3. Division of Geriatrics, University of California San Francisco, San Francisco, CA, USA 4. Division of Health Care Policy and Research, University of Colorado, Boulder, CO, USA 5. Division of General Internal Medicine and Geriatrics, Indiana University School of Medicine, Indianapolis, IN, USA 6. Mathematica Policy Research, Washington, DC, USA |
| Abstract: | As the population ages, the quantity and complexity of comorbidities only increases in the primary care setting. Health systems strive to improve quality of care and enhance cost savings, but current administrative and payment systems do not easily support the implementation of existing evidence and best practices for multimorbid adults in most primary care offices. This perspectives piece sets forth a research agenda in the area of implementation science at the intersection of geriatrics and general internal medicine. We challenge academic medical centers, medical societies, journals, and funders to actively value and support investigation in this area as much as traditional research pathways. |
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