On Thursday, April 11, 2013, Robert Bowman, MD, of the A. T. Still University School of Osteopathic Medicine of Arizona will present a Thought Provocateur session entitled “Three Decades of Innovation Failure”.
It is Dr Bowman’s thesis that innovative interventions in workforce and practice support for three decades have failed to result in a move to health access recovery. Recovery of health access will require a return to the basics.
Interventions for success in health access recovery must result in more primary care delivery per primary care capable graduate, more primary care delivery where needed, 30% more primary care revenue over cost of primary care delivery.
He projects the need for more health spending specific to health access in 30,000 zip codes with 200 million Americans with multiple times less health spending per person, permanent broadest generalists, general types of specialties for rural areas, and lowest cost of training for the primary care delivery result.
A design that results in the most specialized and poorly distributed primary care, the most specialized specialists, the greatest flexibility in career choice, the most graduates required for the least primary care delivery, and the least distribution of health spending – will not recover health access for most Americans behind by design.