From Deseret News archives:
Engaging patients in health care urged
Members of the Legislature's Health System Reform Task Force couldn't find much wrong with the notion of assigning everyone a "medical home" that would in effect make the primary care physician the access point for everything from preventive screenings for diseases to specialized procedures.
Key to making the model work isn't just the way care is delivered or whether the 300,000 Utahns without insurance get covered, but the actions of every individual to get and stay healthy, lawmakers were told.
"We're basically getting what we pay for," said Rep. Brad Daw, R-Orem and a task force member. "Right now we're paying for a lot of care because we won't change our diet or other habits. People generally don't believe they can have much control over their health, and making them accountable for that isn't necessarily something people want."
People could be given real incentives for progress they make, said Michael Magill, chairman of the Department of Family and Preventive Medicine at the University of Utah School of Medicine and founder of a coalition of providers investigating ways to increase quality and value of health-care services.
"The vehicle to change the delivery of health care is a market-driven initiative that promotes a continuing, one-on-one relationship with a primary care physician who can provide a continuum of care, possible health risks in collaboration with patients who are actively involved in staying well," he said. Robert Wheeler, a primary care physician and medical director for Regence BlueCross BlueShield of Utah, said medical homes are an example of how the system must undergo a fundamental transformation, not a reformation.
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