Changing medical relationships after the ACA: Transforming perspectives for population health

摘要: Abstract American health care has undergone significant organizational change in recent decades. But what is the state of core medical relationships wake these changes? Throughout ACA-era reform, doctor–patient relationship was targeted as a particularly important focus for improving communication and outcomes. Recent developments however have shifted from individual-level outcomes to wellbeing populations. This, we argue, requires fundamental rethinking reform an opportunity renegotiate relationships. For example, move population medicine that very concept patient be resituated scope relevant expanded. Medical this era are likely include partnerships between various types clinicians communities which patients reside, well host new actors, social workers navigators scribes community workers. To address upstream determinants health, providers must increasingly willing trained collaborate with stakeholders both non-medical issues. These community-based critical providing appropriate addressing problems, sustainable. Approaching on reworking provides scholars sharper theoretical lens understanding 21st century care.