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Improving Primary Care: Strategies and Tools for a Better Practice

1st Edition

0071811931 · 9780071811934

By Thomas S. Bodenheimer, Kevin Grumbach

Audience: Internists, Family Physicians, Nurse Practitioners, and Medical StudentsFrom the authors of the classic Understanding Health Policy 3eDiscusses the huge challenges primary care clinicians face such as difficulty in managing chronic illness … Read More

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Preface
Acknowledgments
CHAPTER ONE
The Primary Care Home
The Primary Care Home
What is Primary Care?
Why Primary Care?
The Value of a Primary Care Home
The Endangered Primary Care Home
Can Primary Care Fulfill its Vision?
Putting the Primary Care House in Order
CHAPTER TWO
A New Practice Model for Primary Care
Building the New Practice Model
Is the New Practice Model Feasible?
CHAPTER THREE
Patient-Centered Care: Finding the Balance
What is Patient-Centered Care?
Patient-Centered Care in the Patient-Clinician Encounter
Patient-Centered Care in the Primary Care Microsystem
Patient-Centered Care in the Health Care Macrosystem
Patient-Centered Care Meets Cultural Competence
Barriers to Patient-Centered Care
Conclusion: Patient-Centered Care is a Partnership

CHAPTER FOUR
Improving Primary Care for Patients with Chronic Illness
The Chronic Care Model
Implementing the Chronic Care Model
Do Chronic Care Model Components Improve Clinical Outcomes?
Does the Chronic Care Model Save Money?
Changing Primary Care to Incorporate the Chronic Care Model
Conclusion
CHAPTER FIVE
Self-Management Support for People with Chronic Illness
Traditional Versus Collaborative Relationships
Implementing Self-management Support in Clinical Practice: the 5 A’s
Conclusion
CHAPTER SIX
Improving Timely Access to Primary Care
Three Access Models for Primary Care
Case Studies of Advanced Access
Research on Advanced Access
Confronting Problems
How to Begin
CHAPTER SEVEN
Alternatives to the 15-minute Visit
Group Visits
Virtual Encounters
Conclusion
CHAPTER EIGHT
Computerizing the Primary Care Home
The Roles of Electronic Health Care
Techies and Luddites
The Benefits of Computerization
Conclusion
CHAPTER NINE
Health Care Teams in Primary Care
Groups and Teams
A Brief History of Primary Care Teams in the United States
Two Contemporary Primary Care Teams
Building Teams
Research Studies on Primary Care Teams
The Problems with Teams
Introducing Teams into Primary Care
CHAPTER TEN
Diagnosing and Treating the Primary Care Practice
What is a Microsystem?
Diagnosing the Primary Care Microsystem
Treating the Primary Care Microsystem
Conclusion
CHAPTER ELEVEN
Payment for Primary Care
The Primary Care Specialty Income Gap
The Key Role of Volume
Fee-for-Service Payment and the New Practice Model
What Could be done to Change the Situation?
CHAPTER TWELVE
Conclusion
APPENDIX A
Some Organizations and Resources Demonstrating Innovative Primary Care Practices
APPENDIX B
Assessing your Practice
APPENDIX C
Diagnosing Problems in your Practice
APPENDIX D
Primary Care Patient Survey
APPENDIX E
Primary Care Staff Satisfaction Survey
APPENDIX F
Resources on Cultural Competence Health Literacy
APPENDIX G
Office Visit Cycle Time
APPENDIX H
Interruptions in the Day’s Work
APPENDIX I
Group Visit Starter Kit
APPENDIX J
Resources Available from Improving Chronic Illness Care
APPENDIX K
Patient Assessment of Chronic Care
APPENDIX L
Self-management Support Tools
APPENDIX M
Self-management Support Assessment
APPENDIX N
Review of Evidence on the Chronic Care Model
APPENDIX O
Review of Evidence on Primary Care Teams Index

Audience: Internists, Family Physicians, Nurse Practitioners, and Medical Students
From the authors of the classic Understanding Health Policy 3e
Discusses the huge challenges primary care clinicians face such as difficulty in managing chronic illness in their patients, failure to insure quick access to health care, and inability to guarantee continuity of care

Improving Primary Care: Strategies and Tools for a Better Practice

CHAPTER ONE

The Primary Care Home

CHAPTER TWO

A New Practice Model for Primary Care

CHAPTER THREE

Patient-Centered Care: Finding the Balance

CHAPTER FOUR

Improving Primary Care for Patients with Chronic Illness

CHAPTER FIVE

Self-Management Support for People with Chronic Illness

CHAPTER SIX

Improving Timely Access to Primary Care

CHAPTER SEVEN

Alternatives to the 15-minute Visit

CHAPTER EIGHT

Computerizing the Primary Care Home

CHAPTER NINE

Health Care Teams in Primary Care

CHAPTER TEN

Diagnosing and Treating the Primary Care Practice

CHAPTER ELEVEN

Payment for Primary Care

CHAPTER TWELVE

Conclusion

APPENDIX A

APPENDIX B

APPENDIX C

APPENDIX D

APPENDIX E

APPENDIX F

APPENDIX G

APPENDIX H

APPENDIX I

APPENDIX J

APPENDIX K

APPENDIX L

APPENDIX M

APPENDIX N

APPENDIX O

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