But it takes an organization to pay the team, which will surely be expensive to recruit and support. It takes money to hire a team of MAs, RNs, PAs, behaviorial specialists, clinic managers, social workers, nutritionists, and primary care physicians to quarterback the team. It may take a dozen or more other professionals to support one primary care physician and to "integrate" and "coordianate" care.
How does one recruit such a team? Will it take the federal government subsidizing teams in community health clinics? How does one persuade the team to function in disparate geographic settings, which may be rural or in depressed inner cities, where heretofore in many cases, a solo doctor and his nurse or a small group, familiar with their patients and their families. have provided 90% of the services needed? What is the most efficient way to do this? And where are the cost-benefit analyses that indicate such a team approach is affordable?
Tweet: A team-based approach to primary care, requiring a minimum of 12 health professionals is expensive to recruit and support. Who pays?