Improving Primary Care: Strategies and Tools for a Better Practice - Thomas Bodenheimer

Biographie:
Author Profile: Thomas S. Bodenheimer, MD Clinical Professor Department of Family & Community Medicine University of California, San Francisco

Sommaire:

Preface
Acknowledgments CHAPTER ONEThe Primary Care HomeThe 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 TWOA New Practice Model for Primary CareBuilding the New Practice Model
Is the New Practice Model Feasible? CHAPTER THREEPatient-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 FOURImproving 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 FIVESelf-Management Support for People with Chronic Illness Traditional Versus Collaborative Relationships
Implementing Self-management Support in Clinical Practice: the 5 A's
Conclusion CHAPTER SIXImproving 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 SEVENAlternatives to the 15-minute VisitGroup Visits
Virtual Encounters
Conclusion CHAPTER EIGHTComputerizing the Primary Care HomeThe Roles of Electronic Health Care
Techies and Luddites
The Benefits of Computerization
Conclusion CHAPTER NINEHealth 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 TENDiagnosing and Treating the Primary Care Practice What is a Microsystem?
Diagnosing the Primary Care Microsystem
Treating the Primary Care Microsystem
Conclusion CHAPTER ELEVENPayment 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 TWELVEConclusion APPENDIX ASome Organizations and Resources Demonstrating Innovative Primary Care Practices APPENDIX BAssessing your Practice APPENDIX CDiagnosing Problems in your Practice APPENDIX DPrimary Care Patient Survey APPENDIX EPrimary Care Staff Satisfaction Survey APPENDIX FResources on Cultural Competence Health Literacy APPENDIX GOffice Visit Cycle Time APPENDIX HInterruptions in the Day's Work APPENDIX IGroup Visit Starter Kit APPENDIX JResources Available from Improving Chronic Illness Care APPENDIX KPatient Assessment of Chronic Care APPENDIX LSelf-management Support Tools APPENDIX MSelf-management Support Assessment APPENDIX NReview of Evidence on the Chronic Care Model APPENDIX OReview of Evidence on Primary Care Teams Index