The BMJ suggests ways to re-invent office practice
"If we can change the financing so that doctors are paid by the patient instead of by the visit, or if health plans would begin to reimburse for on-line and group care, all kinds of new care models could be supported. The key insight is the willingness to abandon the individual doctor-patient visit as the standard unit of care. The Internet and e-mail, along with group visits, enable asynchronous and/or more efficient and tailored communications between physician and patient."

Kind of stating the obvious isn't it? These changes certainly are necessary, but it's easier said than done my friend.