What is direct primary care?

Direct primary care is a model of healthcare delivery that allows the patient to contract directly with the physician for basic medical needs.  

 

Did you know that a well-trained primary care physician can tend to 90% of a patient's needs* in the outpatient setting? 

 

Years ago, everyone had a doctor.  That doctor would make house calls and keep patients healthy.  He knew the whole family, and everyone cherished that relationship.  Insurance companies evolved through the 1930s and became what we know today in the 1970s.  Nowadays, insurance companies often insert themselves into the conversation between physician and patient, leading to more hassle and the need for more administrative tasks for physicians.  Physicians have been forced to see more and more patients and spend less and less time with them.  Did you know that physicians spend two hours charting on the computer for every one hour of seeing patients?  As a family doctor, I spent one to two hours charting at home** instead of spending time with my family.  This is why we have physician burnout.  This is why patients are so frustrated.

In recent years, there was a trend of big hospital systems buying up small independent practices in an attempt to "streamline" our healthcare system and take the administrative burden off physicians.  But it has been shown that the desired outcome did not happen.  In fact, health care - even basic primary care - became more expensive, and though more people had insurance, it was no more accessible.

Direct primary care allows doctors to spend more time with their patients.  Doctors can get to know them and their concerns.  The physician is held accountable only to the patient, and that mutual respect is the basis for all decisions.  The medical office is small and functional but contains an in-office medical pharmacy with wholesale medications and discounted labs.  We negotiate the savings, and we pass it on to you.  We eliminate the paperwork of insurance so we can be available to you. 

By removing insurance from your primary care, we are able to be more innovative with our healthcare delivery, to help you be the healthiest version of you.  We offer holistic family medicine supported by monthly membership fees that are transparent and reasonable.  Our visits are longer, and we take the time to get to know you and your family.  Once we establish this relationship, many things can be handled over the phone.  Imagine having access to your physician to ask questions instead of relying on Dr. Google, urgent care or the Emergency Room.  Those people don't know you.  We can ensure you are healthy during a busy workday or even a snowstorm.

 

Are you ready to experience a truly fulfilling relationship with your physician?   

References

*Doherty J, Govender R. Washington: World Bank, World Health Organisation, Fogarty International Centre of the U.S. National Institutes of Health; 2004. The cost-effectiveness of primary care services in developing countries: a review of the international literature. Working Paper No. 37. Disease Control Priorities Project.

**Christine Sinsky, MD; Lacey Colligan, MD; Ling Li, PhD; Mirela Prgomet, PhD; Sam Reynolds, MBA; Lindsey Goeders, MBA; Johanna Westbrook, PhD; Michael Tutty, PhD; George Blike, MD. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties.  Ann Intern Med. 2016;165(11):753-760.

Fulcrum Family Health
 
Whole family health care, combining modern technology with old-fashioned service
 
Contact Us
42 Mallett Drive, Suite 3
Freeport, ME 04032
lisalucas@fulcrumfamilyhealth.com
(207) 869-5815
(207) 835-4091 (fax)
 
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