Healthy people 2010 and the PCMH

Pilot projects are under way, and while preliminary data are promising, most evaluation data are pending.5,6 Studies demonstrate that patients without a usual source of care suffer poor health outcomes.6 However, medical students are selecting specialty practice instead of primary care because of multiple economic, personal, and workforce factors.3 PAs mirror this trend, but the largest cohort of PAs (36%) remains in primary care, which may have contributed to the revised model of care that includes PA-managed medical homes.7,8 Regardless, stakeholders in medical education and health services funding agencies may become more involved in the recruitment and retention of primary care providers.