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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