Primary Care Transformation.

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Primary care transformation will usher in a new era of advanced team-based care with extensive roles beyond the physician to build authentic healing relationships with patients. Smart technology will support these relationships, empower and engage patients, and build confidence that their health care team will take excellent care of them. Investments need to shift from catastrophic hospital-based care to proactive prevention and wellness, pushing us to think of health beyond health care. Systems need to build a culture of continuous improvement, supported by data-driven improvement science, and keep a sharp focus on the patient experience of care.





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Sawin, Gregory, and Nicole O'Connor (2019). Primary Care Transformation. Primary care, 46(4). pp. 549–560. 10.1016/j.pop.2019.07.006 Retrieved from

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Gregory Eshleman Sawin

Associate Professor in Family Medicine and Community Health

My work is a reflection of a core value in social justice and a passion to increase health equity. Most of my academic career has been as an educator, serving as a family medicine residency director for 10 years prior to joining Duke. Having started my career in Massachusetts, where universal coverage started in 2007, I have had a focus in primary care transformation and value based care, with special attention to doing so in residency clinics. I’m eager to use my position as Vice Chair for Education and Faculty Development in the Department of Family Medicine and Community Health to coordinate efforts across its five divisions and growing research group to build “learning systems” that adopt continuous improvement culture in all that we do.

Research interests: health equity, team based care, primary care transformation, leadership and improvement science and group based opioid treatment.

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