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It is argued that reforming annual physical will leave the physician having more time. Both the papers also endorse that there should be visits for building trusting relationships. There is also a view that there should be more evidence based prevention.
I think that the primary care physician is the best judge of the problems prevailing in his/her area and also how healthcare could be made better. In diverse nations, no one size can fit all. I feel that the primary care physician should also be the director of community based research in his area, so that he and his team may assess the needs and tailor their own primary care program and evaluate it. If it includes annual physical and gives a good result let it be. The value of the practice may be set based on evaluation by external peer reviewers as well as the health statistics provided by him. Let the physician manage his own time in his own way and through his own methods. Will it not be helpful in improving primary healthcare?