Doohan Noemi, Coutinho Anastasia J, Lochner Jennifer, Wohler Diana, DeVoe Jennifer
From the Department of Family and Community Medicine, University of California-Davis (ND) (past Pisacano scholar); Santa Rosa Family Medicine Residency, Santa Rosa, California (AJC) (current Pisacano scholar); Department of Family Medicine and Community Health, University of Wisconsin-Madison (JL) (past Pisacano scholar); Brown Family Medicine Residency, Providence, Rhode Island (DW) (current Pisacano scholar); Department of Family Medicine, Oregon Health & Science University, Portland (JD) (past Pisacano scholar).
J Am Board Fam Med. 2016 Nov 12;29(6):793-804. doi: 10.3122/jabfm.2016.06.160228.
The inaugural Starfield Summit was hosted in April 2016 by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care with additional partners and sponsors, including the Pisacano Leadership Foundation (PLF). The Summit addressed critical topics in primary care and health care delivery, including payment, measurement, and team-based care. Invited participants included an interdisciplinary group of pediatricians, family physicians, internists, behaviorists, trainees, researchers, and advocates. Among the family physicians invited were both current and past PLF (Pisacano) scholars. After the Summit, a small group of current and past Pisacano scholars formed a writing group to reflect on and summarize key lessons and conclusions from the Summit. A Summit participant's statement, "a paradox persists when the paradigm is wrong," became a repeated theme regarding the paradox of primary care within the context of the health care system in the United States. The Summit energized participants to renew their commitment to Dr. Starfield's 4 C's of Primary Care (first contact access, continuity, comprehensiveness, and care coordination) and to the Quadruple Aim (quality, value, and patient and physician satisfaction) and to continue to explore how primary care can best shape the future of the nation's health care system.
首届星空峰会于2016年4月由罗伯特·格雷厄姆家庭医学与初级保健政策研究中心主办，其他合作伙伴和赞助商包括皮萨卡诺领导力基金会（PLF）。峰会讨论了初级保健和医疗服务提供方面的关键议题，包括支付、衡量以及团队式医疗。受邀参与者包括儿科医生、家庭医生、内科医生、行为学家、实习生、研究人员和倡导者等跨学科群体。受邀的家庭医生中既有现任也有往届的PLF（皮萨卡诺）学者。峰会结束后，一小群现任和往届皮萨卡诺学者组成了一个写作小组，以反思和总结峰会的关键经验教训和结论。一位峰会参与者的发言“当范式错误时，悖论就会持续存在”，成为了关于美国医疗体系背景下初级保健悖论的一个反复出现的主题。峰会激励参与者重新致力于斯塔菲尔德博士提出的初级保健的4C原则（首次接触、连续性、全面性和护理协调）以及四重目标（质量、价值、患者和医生满意度），并继续探索初级保健如何才能最好地塑造国家医疗体系的未来。
