Revisiting Primary Care's Critical Role in Achieving Health Equity: Pisacano Scholars' Reflections from Starfield Summit II

J Am Board Fam Med. 2018 Mar-Apr;31(2):292-302. doi: 10.3122/jabfm.2018.02.170256.


The second Starfield Summit was held in Portland, Oregon, in April 2017. The Summit addressed the role of primary care in advancing health equity by focusing on 4 key domains: social determinants of health in primary care, vulnerable populations, economics and policy, and social accountability. Invited participants represented an interdisciplinary group of primary care clinicians, researchers, educators, policymakers, community leaders, and trainees. The Pisacano Leadership Foundation was one of the Summit sponsors and held its annual leadership symposium in conjunction with the Summit, enabling several Pisacano Scholars to attend the Summit. After the Summit, a small group of current and former Pisacano Scholars formed a writing group to highlight key themes and implications for action discussed at the Summit. The Summit resonated as a call to action for primary care to move beyond identifying existing health inequities and toward the development of interventions that advance health equity, through education, research, and enhanced community partnerships. In doing so, the Summit aimed to build on the foundational work of Dr. Starfield, challenging us to explore the significant role of primary care in truly achieving health equity.

Keywords: Health Equity; Leadership; Primary Health Care; Social Determinants of Health; Social Responsibility; Vulnerable Populations.

MeSH terms

  • Congresses as Topic*
  • Family Practice / economics
  • Family Practice / organization & administration*
  • Fellowships and Scholarships
  • Foundations
  • Health Equity*
  • Humans
  • Leadership
  • Oregon
  • Primary Health Care / economics
  • Primary Health Care / organization & administration*
  • Social Determinants of Health
  • Vulnerable Populations