The multi-stakeholder movement for primary care renewal and reform.

A multi-stakeholder movement for primary care renewal and reform has emerged in the United States, out of recognition that the achievement of an efficient, effective, and sustainable health system requires a vibrant primary care sector. We describe the case for reform from the perspective of private purchasers, government, consumers, and clinicians; the principles around which these stakeholders have coalesced; the groundswell of primary care reform initiatives taking place across the country; and the prospects for this coalition to reshape the character of U.S. health care on a stronger foundation of primary care.