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The Bona Blog features stories, ideas, and expertise from the faculty of St. Bonaventure University. Discover how our scholars are engaging with current events, advancing their fields, and contributing to the public good.



Meet Patients Where They Are: Why Health Care Should Start with People, Not Systems

By championing easier, more community-focused entry points to care, Dr. Gregory Privitera shows how health systems can boost outcomes, reduce barriers, and deliver a more human-centered experience for every patient.


Dr. Gregory Privitera
, a professor of Psychology and a faculty expert in health care policy and the social determinants of health, 
explains why simplifying care delivery and improving access drives more meaningful patient health outcomes.


Why Access Matters

Gregory PriviteraHealth care is often talked about in terms of systems, from hospitals and insurance networks to specialties and referral pathways. But when we lead with systems, we risk losing sight of the very people those systems are meant to serve. Most of us have experienced this firsthand: long waitlists, confusing intake processes, and the sense that care begins only once you have proven you deserve to be there. It is easy to forget that for many individuals, the hardest part of health care is simply gaining entry.

There is a growing body of evidence showing that access is one of the strongest predictors of health outcomes. When people can receive care early, conveniently, and without unnecessary barriers, they are healthier. They stay healthier. And the overall cost of care goes down. Yet our current delivery system is still largely built around a narrow definition of who counts as a “qualified” provider and what counts as a “valid” point of care.

Care Beyond Traditional Settings

Patients do not live their lives inside traditional medical settings. They live in neighborhoods, workplaces, schools, faith communities, barber shops, sports fields, and living rooms. When care is offered in these familiar, trusted community spaces, people feel more comfortable seeking help. Mobile clinics, school-based health services, telehealth, and local health workers all make it easier for individuals to seek care earlier and follow through with care plans. They feel seen. They feel understood.

The most meaningful improvements in health rarely come from added complexity. They come from making it easier for people to get the care they need when they need it. This approach does not replace physicians or hospitals; it complements them. By expanding entry points to care and valuing the full range of trained providers who can contribute, the health system becomes more responsive, more patient-centered, and more humane.


To meet patients where they are, we must be willing to let go of the assumption that the highest-quality care only happens inside the walls of traditional institutions. Quality is not determined solely by the room in which care occurs, but also by the relationship, the expertise, and the trust that is built between provider and patient.

People come first. Systems should follow.

About the Author:

Dr. Gregory Privitera is a professor of psychology at St. Bonaventure University and a recipient of the university’s highest honors for both teaching and research. He is a three-time national award–winning author and a bestselling writer with more than 30 published texts through outlets including Sage, Oxford University Press and Cambridge University Press. His widely recognized scholarship includes more than 40 peer-reviewed research articles, with work that bridges knowledge creation across health, analytics and health care policy.