Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Apr 30, 2024
Date Accepted: Aug 31, 2024
Primary Care Informatics: Vitalizing the Bedrock of Healthcare
ABSTRACT
Primary care informatics professionals address workflow and technology solutions in a wide spectrum of health, ranging from optimizing the experience of the individual patient in the clinic room to supporting the health of populations, and augment the work of frontline primary care clinical teams. Primary care informatics overlaps uniquely with two disciplines with impact on societal health - primary care and health informatics. Primary care is a gateway to healthcare access, and aims to synthesize and coordinate numerous, complex elements of patients’ health and medical care in a holistic manner. However, over the past 25 years, primary care has become a specialty in crisis: in a post-COVID world, workforce shortages, clinician burnout, and continuing challenges in healthcare access all contribute to difficulties in sustaining primary care. Informatics professionals are poised to change this trajectory. In this viewpoint, we aim to inform readers of the discipline of primary care informatics and its importance in the design, support, and maintenance of essential primary care services. Although this work focuses on primary care in the United States, which includes general internal medicine, family medicine, and pediatrics (and depending on definition, includes specialties such as obstetrics and gynecology), many of the principles outlined can also be applied to comparable healthcare services and settings in other countries. We highlight (1) common global challenges in primary care, (2) recent trends in the evolution of primary care informatics (personalized medicine, population health, social drivers of health, and team-based care), and (3) opportunities to move forward primary care informatics with current and emerging technologies using the 4Cs of primary care framework. In summary, primary care informatics offers important contributions to healthcare and to the informatics field, and there are many opportunities for informatics professionals to enhance the primary care experience for patients, families, and their care teams.
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© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.