HSP 1481
Health Care Delivery Reform and Primary Care in the US
Brown University · UGRD · Fall 2026
Catalog description
Health care delivery in the US is an enormous, complex, and fragmented system of hospitals, clinics, rehabilitation facilities and other services. These systems have matured under the payment incentives and culture of US health care to emphasize high volumes of services, often neglecting population health and patient experience as key goals. Increasing recognition that the current delivery system fails to deliver person-centered, high quality health care to populations has led to many delivery reform initiatives. These reforms are where the “rubber hits the road” for health systems shifting the status quo. The overall purpose of this course is to provide students with a strong foundation of knowledge on the current state of the US health care delivery system, the foundational role of primary care in its function and to develop tools to understand and critically evaluate major delivery reforms.
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