A New Way Forward for Primary Care Advancement: A Case Study Review.

Modernized primary care systems are founded in holistic team-based care. Many models exist in the world. However, to overcome the challenges of various physician funding models and to scale resources across the highly populated urban/suburban areas, a different approach is needed.

Building a Digital Bridge to Support Patient-Centered Care Transitions From Hospital to Home for Older Adults With Complex Care Needs: Protocol for a Co-Design, Implementation, and Evaluation Study.

Background: Older adults with multimorbidity and complex care needs (CCN) are among those most likely to experience frequent care transitions between settings, particularly from hospital to home. Transition periods mark vulnerable moments in care for individuals with CCN. Poor communication and incomplete information transfer between clinicians and organizations involved in the transition from hospital to home can impede access to needed support and resources.