Improving Primary Care: Strategies and Tools for a Better Practice / Edition 1

Improving Primary Care: Strategies and Tools for a Better Practice / Edition 1

by Thomas Bodenheimer, Kevin Grumbach
     
 

ISBN-10: 0071447385

ISBN-13: 9780071447386

Pub. Date: 08/25/2006

Publisher: McGraw-Hill Professional Publishing

The authors of the world’s best-selling health policy text offer valuable insights and guidance to primary care practitioners

A Doody's Core Title!

Improving Primary Care offers frank appraisals and concrete recommendations for primary care practitioners on how to meet the huge, stress-inducing, challenges that they face on a daily basis

…  See more details below

Overview

The authors of the world’s best-selling health policy text offer valuable insights and guidance to primary care practitioners

A Doody's Core Title!

Improving Primary Care offers frank appraisals and concrete recommendations for primary care practitioners on how to meet the huge, stress-inducing, challenges that they face on a daily basis. The authors offer innovative approaches and suggestions to dealing with primary care issues ranging from the latest electronic technologies to non-traditional options for the patient-physician encounter.

Product Details

ISBN-13:
9780071447386
Publisher:
McGraw-Hill Professional Publishing
Publication date:
08/25/2006
Series:
Lange Medical Bks.
Edition description:
New Edition
Pages:
400
Product dimensions:
6.00(w) x 9.00(h) x 0.67(d)

Table of Contents

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


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