Primary Care transformation, specifically from fee-for-service to value-based care payment structures, has been a focus of The Center’s research program.

ECHO+: An Innovative Technology-Enabled Collaborative Learning and Quality Improvement Program Strengthening Rural Primary Care in Arkansas, West Virginia, and Oklahoma

Schmitt, H.L., Robinson, S.K., Meisinger, K., Phillips, R.S., Fontaine, M., Krueger, J., Eaton, B., Balasubramony, S., Hines, M., Briscoe, K., Duong, D. B., Journal of Health Care for the Poor and Underserved. Volume 35, Number 2, May 2024. pp. 743-752. 10.1353/hpu.2024.a928644

Value-Based Payment and Vanishing Small Independent Practices

Rooke-Ley, H., Song, Z., Zhu, J.M. Value-Based Payment and Vanishing Small Independent Practices. JAMA. 2024;332(11):871-872. doi:10.1001/jama.2024.12900

Saving Primary Care: Developing a Practice Registry to Monitor the Health of a Threatened Profession

Phillips, R.S., Amat, M. & Dave, J. Saving Primary Care: Developing a Practice Registry to Monitor the Health of a Threatened Profession. J GEN INTERN MED 39, 1955–1958 (2024). https://doi.org/10.1007/s11606-024-08728-4

Barriers and enablers to people-centred viral hepatitis care in Vietnam and the Philippines: Results of a patient journey mapping study

Bethany Holt, Jhaki Mendoza, Hoang Nguyen, Duong Doan, Vy H. Nguyen, Daniel Joy Cabauatan, Lam Dam Duy, Martin Fernandez, Manu Gaspar, Geohari Hamoy, Joseph Michael D. Manlutac, Sinit Mehtsun, Timothy Bill Mercado, Boon-Leong Neo, Bao Ngoc Le, Hoa Nguyen, Huyen Thu Nguyen, Yen Nguyen, Thuy Pham, Todd Pollack, Mary Cris Rombaoa, Pham Thai, Tran Khanh Thu, Pham Xuan Truong, Dung Vu, Janus Ong, David Duong. Barriers and enablers to people-centred viral hepatitis care in Vietnam and the Philippines: Results of a patient journey mapping study. Journal of Viral Hepatitis. First published: 23 April 2024.

System-Level Factors and Time Spent on Electronic Health Records by Primary Care Physicians

Rotenstein, L.S., Holmgren, A.J., Horn, D.M., Lipsitz, S.,Phillips, R., Gitomer, R., Bates, D.W. System-Level Factors and Time Spent on Electronic Health Records by Primary Care Physicians. JAMA Netw Open. 2023;6(11):e2344713. doi:10.1001/jamanetworkopen.2023.44713

The impact of physician leadership development on behaviour and work-related changes

Sakelaris, V., Sullivan, E.E., Harris, D. The impact of physician leadership development on behaviour and work-related changes. Published online June 30, 2023. doi:https://doi.org/10.1177/08404704231185550

Diagnostic excellence in primary care

Watari, T., Schiff, G.D. Diagnostic excellence in primary care. J Gen Fam Med. 2023;24(3):143-145. Published 2023 Mar 20. doi:10.1002/jgf2.617

Primary Care in Peril: How Clinicians View the Problems and Solutions

Sullivan, E.E., Etz, R.S., Gonzalez, M.M., et al. Primary Care in Peril: How Clinicians View the Problems and Solutions. NEJM Catalyst. 2023;4(6):CAT.23.0029. doi:doi:10.1056/CAT.23.0029

Using Rapid-Cycle Change to Improve COVID-19 Vaccination Strategy in Primary Care

Rotenstein, L.S., Holmgren, A.J., Horn, D.M., Lipsitz, S.,Phillips, R. Using Rapid-Cycle Change to Improve COVID-19 Vaccination Strategy in Primary Care. Int J Environ Res Public Health. 2023;20(4):2902. Published 2023 Feb 7. doi:10.3390/ijerph200429023

How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care

Khazen, M., Sullivan, E.E., Arabadjis, S., Ramos, J., Mirica, M., Olson, A., Linzer, M., Schiff, G.D. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open. 2023;13(5):e071241. Published 2023 May 5. doi:10.1136/bmjopen-2022-071241

From Revolution to Evolution: Early Experience with Virtual-First, Outcomes-Based Primary Care

Ellner, A., Basu, N., & Phillips, R.S. From Revolution to Evolution: Early Experience with Virtual-First, Outcomes-Based Primary Care [published online ahead of print, 2023 Mar 27]. J Gen Intern Med. 2023;10.1007/s11606-023-08151-1. doi:10.1007/s11606-023-08151-1

Using Rapid-Cycle Change to Improve COVID-19 Vaccination Strategy in Primary Care

Hunt, L.S., Sullivan, E.E., Susa, J., Chaufournier, R., Joseph, C., Phillips, R. S., Meisinger, K. Using Rapid-Cycle Change to Improve COVID-19 Vaccination Strategy in Primary Care. Int J Environ Res Public Health. 2023;20(4):2902. Published 2023 Feb 7. doi:10.3390/ijerph20042902

Anatomy of diagnosis in a clinical encounter: how clinicians discuss uncertainty with patients

Khazen, M., Sullivan, E.E., Ramos, J., Mirica, M., Linzer, M., Schiff, G.D., & Olson, A.P.J., (2022). Anatomy of diagnosis in a clinical encounter: how clinicians discuss uncertainty with patients. Springer Link.

Physician- versus practice-level primary care continuity and association with outcomes in Medicare beneficiaries

Yang, Z., Ganguli, I., Davis, C., Dai, M., Shuemaker, J., Peterson, L., Bazemore, A.Phillips, R., Chung Y.K. (2022). Physician- versus practice-level primary care continuity and association with outcomes in Medicare beneficiaries. Health Services Research.

Building Improvement Capacity to Create Strong, Effective Primary Care Teams in Community Health Centers

Dwiel, K., Weilnau, T., Hunt, L., Azzara, J., Phillips, R., & Sullivan, E. (2019). Building Improvement Capacity to Create Strong, Effective Primary Care Teams in Community Health Centers. Joint Commission Journal on Quality and Patient Safety.

A comprehensive theory of integration

Singer, S.J., Kerrissey, M., Friedberg, M., Phillips, R.S. (2018). A comprehensive theory of integration. Med Care Res Rev. PMID29606036. [E-publication ahead of print]

Omada Health: Designing to Overcome Diabetes

Case Study
Alpert, J. & Sullivan E.E. (2017). Omada Health: Designing to Overcome Diabetes. Boston, MA USA: Harvard Medical School Center for Primary Care.

Desert Senita: A Rural FQHC’s Efforts to Mitigate Resource Scarcity in the Desert

Case Study
Alpert, J. & Sullivan, E. E. (2017). Desert Senita: A Rural FQHC’s Efforts to Mitigate Resource Scarcity in the Desert. Boston, MA, USA: Harvard Medical School Center for Primary Care.

The coming primary care revolution

Ellner, A., & Phillips, R. (2017). The coming primary care revolution. Journal of General Internal Medicine, 32(4), 380-386.

Scaling to Achieve a Vision of Health Equity: CareMessage

Case Study 
Hesketh, M. & Alpert J.L. (2017). Scaling to Achieve a Vision of Health Equity: CareMessage. Boston, MA USA: Harvard Medical School Center for Primary Care.

From healthcare to health: a proposed pathway to population health

Koch, U., Stout, S., Landon, B. E., & Phillips, R. S. (2016). From healthcare to health: a proposed pathway to population health. Healthcare. Elsevier.

A model for training medical student innovators: the Harvard Medical School Center for Primary Care Abundance Agents of Change program

Duong, D. B., Sullivan, E. E., Minter-Jordan, M., Giesen, L., & Ellner, A. L. (2016). A model for training medical student innovators: the Harvard Medical School Center for Primary Care Abundance Agents of Change program. Medical Education Online, 21(1).

Financing a Dutch Lotus for Community Wellness

Case Study
Ibrahim, Z., Kringos, D. & Sullivan, E. E. (2016). Financing a Dutch Lotus for Community Wellness. Boston, MA, USA: Harvard Medical School Center for Primary Care.

Top to Bottom: Identifying Places to Change in Catalonia, Spain

Case Study
Arabadjis, S., Ibrahim, Z. & Sullivan, E. E. (2016). Top to Bottom: Identifying Places to Change in Catalonia, Spain. Boston, MA, USA: Harvard Medical School Center for Primary Care.

The Case of Kaiser Permanente: Specializing Primary Care

Case Study
Arabadjis, S. & Sullivan, E. E. (2016). The Case of Kaiser Permanente: Specializing Primary Care. Boston, MA, USA: Harvard Medical School Center for Primary Care.

Should we abandon routine visits? There is little evidence for or against

Himmelstein, D. U., & Phillips, R. S. (2016). Should we abandon routine visits? There is little evidence for or against. Annals of Internal Medicine, 164(7), 498-499.

The patient-centered medical home: preparation of the workforce, more questions than answers

Reynolds, P. P., Klink, K., Gilman, S., Green, L. A., Phillips, R. S., Shipman, S., Keahey, D., Rugen, K., & Davis, M. (2015). The patient-centered medical home: preparation of the workforce, more questions than answers. Journal of General Internal Medicine, 30(7), 1013-1017.

Background Note on Federally Qualified Health Centers (FQHCs)

Case Study
Hesketh, M. & Dwiel, K. (2017). Background Note on Federally Qualified Health Centers (FQHCs). Boston, MA, USA: Harvard Medical School Center for Primary Care.

Transforming primary care practice and education: lessons from 6 academic learning collaboratives

Koch, U., Bitton, A., Landon, B. E., & Phillips, R. S. (2015). Transforming primary care practice and education: lessons from 6 academic learning collaboratives. Journal of Ambulatory Care Management. 40(2), pp.125-138.

The Harvard Medical School Academic Innovations Collaborative: transforming primary care practice and education

Bitton, A., Ellner, A., Pabo, E., Stout, S., Sugarman, J. R., Sevin, C., Goodell, K., Bassett, J.S., & Phillips, R. S. (2014). The Harvard Medical School Academic Innovations Collaborative: transforming primary care practice and education. Academic Medicine, 89(9), 1239-1244.