{"id":31402,"date":"2014-04-22T10:00:20","date_gmt":"2014-04-22T09:00:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=31402"},"modified":"2015-09-22T14:35:34","modified_gmt":"2015-09-22T13:35:34","slug":"william-cayley-is-primary-care-in-the-us-really-the-future","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/","title":{"rendered":"William Cayley: Is primary care in the US really the future?"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/06\/bill_cayley.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-26868\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/06\/bill_cayley-150x130.jpg\" alt=\"bill_cayley\" width=\"150\" height=\"130\" \/><\/a>Is primary care really the future? I\u2019d like to say \u201cYes,\u201d but I\u2019m not so sure\u2026 (at least in the USA).<\/p>\n<p>There has been much talk and writing about the growing need for primary care physicians to serve our population, and one \u201cpromise\u201d of the Affordable Care Act is \u201c<a href=\"http:\/\/www.commonwealthfund.org\/Blog\/2011\/Jan\/Affordable-Care-Act-Bolsters-Primary-Care.aspx\">its potential to make primary care more accessible<\/a>.&#8221; At the same time, the major family medicine organizations in the USA have embarked on an ambitious project to \u201c<a href=\"http:\/\/www.aafp.org\/about\/initiatives\/future-family-medicine.html\">examine the challenges and opportunities facing family medicine today, and define a path forward in the context of a rapidly changing healthcare landscape.<\/a>\u201d<!--more--><\/p>\n<p>All of this should be reassuring, especially in light of Starfield\u2019s oft-cited demonstration that \u201c<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2690145\/\">primary care helps prevent illness and death,<\/a>\u201d but I\u2019m not sure what sort of growth in primary care we are actually seeing. A report released last week by the IMS Institute for Healthcare Informatics found that in the USA in 2013 \u201c<a href=\"http:\/\/www.imshealth.com\/portal\/site\/imshealth\/menuitem.c76283e8bf81e98f53c753c71ad8c22a\/?vgnextoid=d58b8b5776165410VgnVCM10000076192ca2RCRD&amp;vgnextchannel=5ec1e590cb4dc310VgnVCM100000a48d2ca2RCRD&amp;vgnextfmt=default\">primary care visits continued to decline for the fourth consecutive year,<\/a>\u201d while specialist visits increased by 4.9%. At the same time, <a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMe078208\">the hospitalist movement continues to grow in the USA<\/a>, despite the fact that <a href=\"http:\/\/annals.org\/article.aspx?articleid=479624\">hospitalist care may lead to higher medical utilization and costs after discharge<\/a>, and health economics research continues to explore (among other things) how primary care can provide \u201cdownstream revenue\u201d to specialty physicians and services.<\/p>\n<p>Are we really seeing the growth of primary care, that is, the development and support of a solid and well-trained primary care workforce, empowered and encouraged to provide the breadth, depth, and continuity of care that can improve our patients\u2019 lives?<\/p>\n<p>Or are we seeing the growth of a system that views primary care as a pipeline to feed specialty services, or a source of patient referrals to bolster income?<\/p>\n<p>I\u2019m a family doc and I love what I do\u2014and while I hope for the first vision to become reality, I\u2019m becoming increasingly concerned we are actually seeing the development of the latter.<\/p>\n<p><em>Competing interests: \u201cI declare that I have read and understood the BMJ Group policy on declaration of interests and I have no relevant interests to declare\u2014I\u2019m just a family doc!&#8221;<\/em><\/p>\n<p><em><strong>William E Cayley Jr<\/strong> practises at the Augusta Family Medicine Clinic, teaches at the Eau Claire Family Medicine Residency, and is a professor at the University of Wisconsin, Department of Family Medicine. <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Is primary care really the future? I\u2019d like to say \u201cYes,\u201d but I\u2019m not so sure\u2026 (at least in the USA). There has been much talk and writing about the [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1357,14769],"tags":[],"class_list":["post-31402","post","type-post","status-publish","format-standard","hentry","category-us-health-care","category-william-cayley"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>William Cayley: Is primary care in the US really the future? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"William Cayley: Is primary care in the US really the future? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Is primary care really the future? I\u2019d like to say \u201cYes,\u201d but I\u2019m not so sure\u2026 (at least in the USA). There has been much talk and writing about the [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-04-22T09:00:20+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-09-22T13:35:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/06\/bill_cayley-150x130.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"William Cayley: Is primary care in the US really the future?\",\"datePublished\":\"2014-04-22T09:00:20+00:00\",\"dateModified\":\"2015-09-22T13:35:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/\"},\"wordCount\":405,\"commentCount\":2,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2013\\\/06\\\/bill_cayley-150x130.jpg\",\"articleSection\":[\"US healthcare\",\"William Cayley\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/\",\"name\":\"William Cayley: Is primary care in the US really the future? - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2013\\\/06\\\/bill_cayley-150x130.jpg\",\"datePublished\":\"2014-04-22T09:00:20+00:00\",\"dateModified\":\"2015-09-22T13:35:34+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2013\\\/06\\\/bill_cayley.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2013\\\/06\\\/bill_cayley.jpg\",\"width\":160,\"height\":130},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/04\\\/22\\\/william-cayley-is-primary-care-in-the-us-really-the-future\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"William Cayley: Is primary care in the US really the future?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"William Cayley: Is primary care in the US really the future? - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/","og_locale":"en_US","og_type":"article","og_title":"William Cayley: Is primary care in the US really the future? - The BMJ","og_description":"Is primary care really the future? I\u2019d like to say \u201cYes,\u201d but I\u2019m not so sure\u2026 (at least in the USA). There has been much talk and writing about the [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2014-04-22T09:00:20+00:00","article_modified_time":"2015-09-22T13:35:34+00:00","og_image":[{"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/06\/bill_cayley-150x130.jpg","type":"","width":"","height":""}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"William Cayley: Is primary care in the US really the future?","datePublished":"2014-04-22T09:00:20+00:00","dateModified":"2015-09-22T13:35:34+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/"},"wordCount":405,"commentCount":2,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/06\/bill_cayley-150x130.jpg","articleSection":["US healthcare","William Cayley"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/","url":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/","name":"William Cayley: Is primary care in the US really the future? - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/06\/bill_cayley-150x130.jpg","datePublished":"2014-04-22T09:00:20+00:00","dateModified":"2015-09-22T13:35:34+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/06\/bill_cayley.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/06\/bill_cayley.jpg","width":160,"height":130},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/22\/william-cayley-is-primary-care-in-the-us-really-the-future\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"William Cayley: Is primary care in the US really the future?"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/31402","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=31402"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/31402\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=31402"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=31402"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=31402"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}