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| Preface | |
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| Acknowledgments | |
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| The Primary Care Home | |
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| The Primary Care Home | |
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| What is Primary Care? | |
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| Why Primary Care? | |
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| The Value of a Primary Care Home | |
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| The Endangered Primary Care Home | |
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| Can Primary Care Fulfill its Vision? | |
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| Putting the Primary Care House in Order | |
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| A New Practice Model for Primary Care | |
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| Building the New Practice Model | |
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| Is the New Practice Model Feasible? | |
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| Patient-Centered Care: Finding the Balance | |
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| What is Patient-Centered Care? | |
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| Patient-Centered Care in the Patient-Clinician Encounter | |
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| Patient-Centered Care in the Primary Care Microsystem | |
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| Patient-Centered Care in the Health Care Macrosystem | |
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| Patient-Centered Care Meets Cultural Competence | |
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| Barriers to Patient-Centered Care | |
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| Conclusion: Patient-Centered Care is a Partnership | |
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| Improving Primary Care for Patients with Chronic Illness | |
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| The Chronic Care Model | |
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| Implementing the Chronic Care Model | |
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| Do Chronic Care Model Components Improve Clinical Outcomes? | |
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| Does the Chronic Care Model Save Money? | |
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| Changing Primary Care to Incorporate the Chronic Care Model | |
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| Conclusion | |
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| Self-Management Support for People with Chronic Illness | |
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| Traditional Versus Collaborative Relationships | |
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| Implementing Self-management Support in Clinical Practice: the 5 A's | |
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| Conclusion | |
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| Improving Timely Access to Primary Care | |
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| Three Access Models for Primary Care | |
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| Case Studies of Advanced Access | |
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| Research on Advanced Access | |
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| Confronting Problems | |
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| How to Begin | |
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| Alternatives to the 15-minute Visit | |
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| Group Visits | |
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| Virtual Encounters | |
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| Conclusion | |
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| Computerizing the Primary Care Home | |
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| The Roles of Electronic Health Care | |
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| Techies and Luddites | |
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| The Benefits of Computerization | |
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| Conclusion | |
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| Health Care Teams in Primary Care | |
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| Groups and Teams | |
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| A Brief History of Primary Care Teams in the United States | |
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| Two Contemporary Primary Care Teams | |
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| Building Teams | |
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| Research Studies on Primary Care Teams | |
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| The Problems with Teams | |
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| Introducing Teams into Primary Care | |
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| Diagnosing and Treating the Primary Care Practice | |
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| What is a Microsystem? | |
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| Diagnosing the Primary Care Microsystem | |
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| Treating the Primary Care Microsystem | |
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| Conclusion | |
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| Payment for Primary Care | |
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| The Primary Care-Specialty Income Gap | |
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| The Key Role of Volume | |
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| Fee-for-Service Payment and the New Practice Model | |
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| What Could be Done to Change the Situation? | |
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| Conclusion | |
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| Some Organizations and Resources Demonstrating Innovative Primary Care Practices | |
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| Assessing your Practice | |
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| Diagnosing Problems in your Practice | |
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| Primary Care Patient Survey | |
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| Primary Care Staff Satisfaction Survey | |
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| Resources on Cultural Competence and Health Literacy | |
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| Office Visit Cycle Time | |
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| Interruptions in the Day's Work | |
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| Group Visit Starter Kit | |
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| Resources Available from Improving Chronic Illness Care | |
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| Patient Assessment of Chronic Care | |
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| Self-management Support Tools | |
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| Self-management Support Assessment | |
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| Review of Evidence on the Chronic Care Model | |
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| Review of Evidence on Primary Care Teams | |
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| Index | |