Improving Primary Care Strategies and Tools for a Better Practice

ISBN-10: 0071447385

ISBN-13: 9780071447386

Edition: 2007

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Description: 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

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Book details

List price: $52.00
Copyright year: 2007
Publisher: McGraw-Hill Medical Publishing Division
Publication date: 9/15/2006
Binding: Paperback
Pages: 400
Size: 6.00" wide x 9.00" long x 0.75" tall
Weight: 0.880
Language: English

Preface
Acknowledgments
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
A New Practice Model for Primary Care
Building the New Practice Model
Is the New Practice Model Feasible?
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
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
Self-Management Support for People with Chronic Illness
Traditional Versus Collaborative Relationships
Implementing Self-management Support in Clinical Practice: the 5 A's
Conclusion
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
Alternatives to the 15-minute Visit
Group Visits
Virtual Encounters
Conclusion
Computerizing the Primary Care Home
The Roles of Electronic Health Care
Techies and Luddites
The Benefits of Computerization
Conclusion
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
Diagnosing and Treating the Primary Care Practice
What is a Microsystem?
Diagnosing the Primary Care Microsystem
Treating the Primary Care Microsystem
Conclusion
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?
Conclusion
Some Organizations and Resources Demonstrating Innovative Primary Care Practices
Assessing your Practice
Diagnosing Problems in your Practice
Primary Care Patient Survey
Primary Care Staff Satisfaction Survey
Resources on Cultural Competence and Health Literacy
Office Visit Cycle Time
Interruptions in the Day's Work
Group Visit Starter Kit
Resources Available from Improving Chronic Illness Care
Patient Assessment of Chronic Care
Self-management Support Tools
Self-management Support Assessment
Review of Evidence on the Chronic Care Model
Review of Evidence on Primary Care Teams
Index
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