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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 | |