| Traditional Model of Practice |
New Model of Practice |
| Systems often disrupt the patient-physician relationship |
Systems support continuous healing relationships |
| Care is provided to both sexes and all ages; includes all stages of the individual and family life cycles in continuous, healing relationships |
Care is provided to both sexes and all ages; includes all stages of the individual and family life cycles in continuous, healing relationships |
| Physician is center stage |
Patient is center stage |
| Unnecessary barriers to access by patients |
Open access by patients |
| Care is mostly reactive |
Care is both responsive and prospective |
| Care is often fragmented |
Care is integrated |
| Paper medical record |
Electronic health record |
| Unpredictable package of services is offered |
Commitment to providing directly and/or coordinating a defined basket of services |
| Individual patient oriented |
Individual and community oriented |
| Communication with practice is synchronous (in person or by telephone) |
Communication with the practice is both synchronous and asynchronous (e-mail, Web portal, voice mail) |
| Quality and safety of care are assumed |
Processes are in place for ongoing measurement and improvement of quality and safety |
| Physician is the main source of care |
Multidisciplinary team is the source of care |
| Individual physician-patient visits |
Individual and group visits involving several patients and members of the health care team |
| Consumes knowledge |
Generates new knowledge through practice-based research |
| Experience based |
Evidence based |
| Haphazard chronic disease management |
Purposeful, organized chronic disease management |
| Struggles financially, undercapitalized |
Positive financial margin, adequately capitalized |
