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E-raamat: Restoring Primary Care: Reframing Relationships and Redesigning Practice [Taylor & Francis e-raamat]

  • Formaat: 146 pages
  • Ilmumisaeg: 20-Dec-2010
  • Kirjastus: CRC Press
  • ISBN-13: 9781315375809
Teised raamatud teemal:
  • Taylor & Francis e-raamat
  • Hind: 138,48 €*
  • * hind, mis tagab piiramatu üheaegsete kasutajate arvuga ligipääsu piiramatuks ajaks
  • Tavahind: 197,84 €
  • Säästad 30%
  • Formaat: 146 pages
  • Ilmumisaeg: 20-Dec-2010
  • Kirjastus: CRC Press
  • ISBN-13: 9781315375809
Teised raamatud teemal:
To many practitioners, managers and patients, US primary care is in crisis. Primary care physicians are often overworked and undervalued, and both patients and care providers can feel locked into structures that lack compassion and are unfit for their intended purposes. Healthcare reforms aim to resolve the situation, but changes may take years to deliver and are contingent on numerous outside factors. What steps are within care providers' power to take now? This book lays out a course to deliver compassionate care, quality, and efficiency that - unlike many current patient-centred medical home initiatives in the US - does not require outside funding. After reflecting on avoidable problems and harms in primary care, the book offers stories of hope from innovative clinicians across the US before presenting ten practical, deliverable steps to lift primary care provision from 'poor' or 'mediocre' to 'great'. This book will be of interest to practicing family physicians and general internists, but will also be useful reading for health system leaders, healthcare insurance purchasers and insurance company executives.
Foreword vii
Preface xiv
About the authors xvii
Acknowledgments xviii
1 Avoidable problems and harms in primary care
1(24)
Prologue
1(1)
Discussion
2(2)
After our study
4(4)
Introduction
8(2)
Methods
10(1)
Results
11(14)
2 Seven stories
25(24)
I want things back to the way they were
25(5)
Worried till this day
30(3)
Attentive concern and respect for patient
33(3)
Prejudice, confusion, and little time
36(3)
Where is the compassion?
39(3)
Runaround and fragmentation: frustrated with the whole system
42(5)
Insurance-controlled care
47(2)
3 The heart of medicine
49(4)
4 The movement toward patient-centered/relationship-centered medical homes
53(10)
5 Stories of success
63(18)
6 Ten steps to a patient-centered medical home
81(30)
Step one Stop leaving money on the table
81(5)
Step two Team care
86(3)
Step three Rapid access scheduling
89(3)
Step four Increase patient panel size
92(2)
Step five Extend hours
94(1)
Step six Purchase and implement an EHR
95(2)
Step seven Start doing population quality care work
97(2)
Step eight Get a patient portal
99(1)
Step nine Get connected to other clinicians
100(1)
Step ten Focus on costliest patients
101(1)
Essentials for the journey
102(9)
Afterword 111(4)
William L. Miller
Appendix 1 Readers' theater 115(5)
Appendix 2 HowsYourHealth survey 120(5)
Index 125
respectively Professor and Chair of Family Medicine, Virginia Commonwealth University, Richmond, Virginia, USA; Scientific Director, Institute for Professionalism Inquiry, Summa Health System, and Professor Emeritus of Behavioral Science, Northeastern Ohio Universities College of Medicine, USA.