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Modeling the Paradox of Primary Care
Book chapter

Modeling the Paradox of Primary Care

Johnie Rose, Rick Riolo, Peter Hovmand, Sarah Cherng, Robert Ferrer, David A. Katerndahl, Carlos R. Jaén, Timothy Hower, Mary C. Ruhe, Heide Aungst, …
Handbook of Systems and Complexity in Health, pp 815-825
23 Nov 2012

Abstract

Comparative Effectiveness Research Complex Adaptive System Medical Expenditure Panel Survey Primary Care System Dynamic Model
A paradox exists in the outcomes of primary care: despite delivering apparently poorer quality disease care compared to that delivered by specialists, primary care is associated with better population health, lower inequality, and lower cost. Understanding the dynamics that give rise to this paradox could lead to better-informed interventions to promote more patient-centered, holistic, equitable, and cost-effective models of care. In this chapter, we articulate the paradox and how complexity science principles can make sense of its contradictions. We suggest a novel approach to advancing understanding through a participatory group modeling process to build and conduct experiments with an agent-based computational model.

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