Patient-Centered Primary Care Getting From Good to Great
There have been great strides made in designing the administrative structures of patient-centered care, but it is still difficult to design truly patient-centered clinical routines that the entire healthcare team can enact. The kind of partnership,
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Patient-Centered Primary Care
Alexander Blount
Patient-Centered Primary Care Getting From Good to Great
Alexander Blount, EdD Department of Clinical Psychology Antioch University New England Keene, NH, USA
ISBN 978-3-030-17644-0 ISBN 978-3-030-17645-7 (eBook) https://doi.org/10.1007/978-3-030-17645-7 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG. The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
For Francesca
Foreword
For those of us laboring for the betterment of primary care, this modest volume by Sandy Blount is of outsized, even monumental, importance. Our efforts at advancing the field, and thereby improving primary care, have been stultified along the way by a number of complications and difficulties. This book – exquisitely turned, perfectly timed – explains how we got here, dissects the elements of primary care that stubbornly resist improvement, and describes a way forward that is entirely within our capacities. Let me call out a few markers along this path to better care. Fifty years ago, we catalogued the problems that primary care patients presented with and understood those problems as the content of primary care. We soon discovered the staggering prevalence and clinical importance of chronic diseases in our practices and, in tackling the rudiments of chronic disease management, realized that how we practice is as important as the clinical content we had so carefully documented. We adopted registries, care managers, team-based care, and other components of chronic disease management programs. It quickly became evident that multimorbidity, the norm for most of our patients, does not yield to a disease-by-disease approach, and we began formulating personal care plans, rath
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