Patient-centered primary care : getting from good to great

Blount, Alexander (author.).

Record details

ISBN: 9783030176440
ISBN: 3030176444
Physical Description: print
xxv, 243 pages ; 24 cm
Publisher: Cham, Switzerland : Springer, [2019]

Content descriptions

Formatted Contents Note:

Machine generated contents note: 1. Getting to Patient-Centered Care -- 1.1. Primary Care Is Powerful -- 1.2. Call for Patient-Centered Care -- 1.3. Change in Payment Models -- 1.4. Doctors Under Pressure -- References -- 2. From a Squad to a Team: Creating Team-Based Care -- 2.1. Understanding the Change -- 2.2. From a Squad to a Team -- 2.3. Communication in the Team -- 2.4. Team Roles -- 2.5. APEX Model -- 2.6. "Union Square" Model -- 2.7. Team Training -- 2.8. Conclusion -- References -- 3. Behavioral Health and Care Enhancement: Building a Team to Do the Whole Job -- 3.1. New Expertise for Better Patient Care -- 3.2. Adding a Behavioral Health Clinician -- 3.3. Organizational Support Needed for the Process of Behavioral Health Integration -- 3.4. Competencies of Behavioral Health Clinicians -- 3.5. Addressing the Social Determinants of Health -- 3.6. Conclusion -- References -- 4. Getting from "Delivering Care to Patients" to "Partnership with Patients" -- 4.1. Rising Expectation of Patient Participation -- 4.2. Describing the Divide -- 4.3. Bridging the Divide -- 4.4. Improving the "Health Literacy" of the Patient -- 4.5. Enhancing Motivation -- 4.6. Shared Decision-Making -- 4.7. Minimally Disruptive Medicine -- 4.8. Coaching Patients to Increase Their Participation in Their Care Decisions -- 4.9. Relationship-Centered Care -- 4.10. Challenge of Changing Relationships and the "Be Spontaneous" Paradox -- 4.11. Family-Informed Care -- 4.12. Conclusion -- References -- 5. When the Doctor-Patient Divide Is a Chasm -- 5.1. Understanding Multiply-Disadvantaged Patients -- 5.2. Complex Patients -- 5.3. Disadvantaged Patients -- 5.4. Trauma Victims -- 5.5. Health System and Multiply-Disadvantaged Patients -- 5.6. Taking Stock -- Appendix -- References -- 6. Bridging the Chasm: The Current State of the Art -- 6.1. Challenge -- 6.2. It Starts with Relationship -- 6.3. Team Makes the Difference -- 6.4. CareOregon Experience -- 6.5. Trauma-Informed Care -- 6.6. Story from the Mountains of North Carolina -- 6.7. Team at the State of the Art -- 6.8. What Is Missing? -- References -- 7. "T" Is for Transparent -- 7.1. Opening a New Channel for Communication -- 7.2. Call for Transparency -- 7.3. Opening the Record -- 7.4. Open Notes for Multiply-Disadvantaged Patients -- 7.5. Evolving the Role of the EHR -- 7.6. Changing Language and Content to Build Partnership -- 7.7. Speaking As Well as Writing -- 7.8. Passing the Relationship -- 7.9. Implementation -- 7.10. Summary -- Appendix -- References -- 8. "E" Is for Empowering -- 8.1. Getting to Empowerment -- 8.2. Solution-Focused Questions -- 8.3. Solution-Focused Questions and Different Team Roles -- 8.4. Summary -- References -- 9. "A" Is for Activating -- 9.1. Patient Activation: The Concept and the Practices -- 9.2. Building Expectations for Activation -- 9.3. Reasons for Activation -- 9.4. Attribution Generator -- 9.5. Team's Role in Changing Expectations -- 9.6. Summary -- References -- 10. "M" Is for Mutual -- 10.1. Tool for Mutuality -- 10.2. Role of the Care Plan -- 10.3. Brief History of PCCP Trials -- 10.3.1. Shared Care Plan -- 10.3.2. Concord, NH -- 10.3.3. Seattle, WA -- 10.4. Suggestions for Implementation -- 10.5. Summary -- References -- 11. Growing and Retaining an Expert Team -- 11.1. Team Learning -- 11.1.1. Just the Facts -- 11.1.2. Narrative Account -- 11.1.3. Brief Example -- 11.2. Guiding the Developing Team -- 11.3. Retaining an Expert Team -- 11.4. Summary -- Appendix -- Patient/Family/Team Meeting -- Stages of the Meeting -- References -- 12. Quality Improvement, Data, and Partnership -- 12.1. Improving Quality for Patient-Centered Care -- 12.2. Patients as Partners in Quality Improvement -- 12.3. Reconsidering Data from a Partnership Prospective -- 12.4. Making Data Collection Support Partnership -- Appendix -- Tracking Patient Data to Improve Partnership and Foster Clinical Improvement -- References -- 13. Articulating the Model -- References.