There simply aren’t enough hours in the day for many family doctors to deliver high-quality care to people with chronic conditions

Thanks for the news flash. One helpful recommendation: “Ostbye’s team set forth a number of suggestions to ameliorate the problem, including writing patient care guidelines with real-world conditions in mind.

‘There is a lot to be said for having guidelines, but it seems they are often written in isolation.'”

Agreed. More of these academic physician-administrators needs to experience clinical medicine in the managed-care world. Like their views on primary care’s woes, they are so sheltered in an academic setting that they provide guidance that is not practical in real-life.