-- New technologies and delivery systems that promote care in the home, such as video visits with doctors or nurses, and automated monitoring of glucose levels, heart rhythms or blood pressures, along with many new tools supporting self-care.
-- Watch out for the evolution of "patient-centered medical homes" where teams of primary care doctors, nurse practitioners, physician assistants, mental health professionals, case workers, family caregivers, community-based patient navigators, volunteers and others who bring additional expertise to patient care work together to increase both the quality and efficiency of care.
The signs are promising for many of these new tools. At times, the path toward a better and more equitable health care system may feel slow and treacherous, but we should be hopeful. Nationally and at my medical school, we're beginning to see more young health professionals turning toward careers in primary care.
I think the tide is turning. I believe that Obamacare is delivering a child whose tentative steps and inevitable stumbles will be followed by strong strides forward.