Health Care Delivery Systems

The American Academy of Family Physicians (AAFP) supports universal access to basic health care services for all people. The AAFP believes this goal can be attained with a pluralistic approach to the financing, organization, and delivery of health care. A pluralistic health care delivery approach naturally involves competition based on quality, cost, and service.

The goal of any health care delivery system should be to foster optimal health outcomes by providing cost-effective, patient-centered, quality care with a service emphasis. Health care delivery systems should be designed to motivate patients and health care providers to make decisions consistent with this goal.

The AAFP supports the physician and patient option to choose any ethical health care delivery system. Because this policy advocates choice, the AAFP encourages its members to be well-informed about the continuously evolving health care delivery system options available to them and their patients. The AAFP also encourages its members to help their patients choose options that promote the above goals and that maintain the unique partnership embodied in the physician-patient relationship. To further support the goal, health care delivery systems should support physicians’ responsibilities to treat, comfort, and educate patients, while encouraging family physicians to be the patient’s primary physician. (1998) (2015 COD)