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Improving Primary Care: Strategies and Tools for a Better Practice

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September 2006

Beschreibung

Beschreibung

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.

Inhaltsverzeichnis

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

Portrait

Author Profile: Thomas S. Bodenheimer, MD Clinical Professor Department of Family & Community Medicine University of California, San Francisco
EAN: 9780071447386
ISBN: 0071447385
Untertitel: Sprache: Englisch.
Verlag: MCGRAW HILL BOOK CO
Erscheinungsdatum: September 2006
Seitenanzahl: 278 Seiten
Format: kartoniert
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