Health Aff (Millwood). 2010 May;29(5):941-7. doi: 10.1377/hlthaff.2010.0136.
Primary care is viewed both as the solution to better health care in the United States and as a threatened institution, beset by poor payment and difficult working conditions. Rhode Island has taken a direct approach to making primary care more effective for patients and more attractive for physicians. In 2009 the state's Office of the Health Insurance Commissioner developed "system affordability priorities" for Rhode Island's commercial insurers, including a directive to almost double the portion of their medical expenses devoted to primary care. Initial plans of those insurers to meet those expectations are now being implemented; this paper describes those plans.
初级医疗保健既是改善美国医疗保健的解决方案，也是一个受到威胁的机构，面临着薪酬低和工作条件艰苦等问题。罗得岛州采取了直接的方法，使初级保健对患者更有效，对医生更有吸引力。2009 年，该州卫生保险公司的办公室为罗得岛州的商业保险公司制定了“系统负担能力优先事项”，包括指示将其医疗费用中用于初级保健的部分几乎增加一倍。这些保险公司最初计划满足这些期望，现在正在实施；本文介绍了这些计划。
