Finally two studies that show what the problem is and what is the solution. In 2012 CMS funded two studies, among many others, that were to test two very different models of practicing medicine and providing healthcare. The first, the Comprehensive Primary Care Model, tested a kind of industrial, factory model of division of labor, with a “team of providers” and a manager to coordinate. That five year study showed no benefits in either cost, quality, patient satisfaction or doctor satisfaction. See the results for yourself in Health Affairs, June 20118.
The second study, by David Meltzer, MD PhD, was the opposite. It tested the idea that giving doctors and patients enough time, and enough of a certain kind of time, together, is what is needed. For an excellent review of its amazing results, see https://www.nytimes.com/interactive/2018/05/16/magazine/health-issue-reinvention-of-primary-care-delivery.html