© 2019

Patient-Centered Primary Care

Getting From Good to Great

  • Helps primary care practices involve and activate patients in their own healthcare, especially patients who have previously been difficult to engage in taking care of themselves

  • The different routines discussed each has a strong evidence base, this the first time they have been assembled into a comprehensive approach for clinicians and staff

  • Offers a specific yet flexible implementation pathway that can be adjusted to fit any particular provider or practices


Table of contents

  1. Front Matter
    Pages i-xxv
  2. Alexander Blount
    Pages 1-15
  3. Alexander Blount
    Pages 77-92
  4. Alexander Blount
    Pages 109-130
  5. Alexander Blount
    Pages 131-146
  6. Alexander Blount
    Pages 147-162
  7. Alexander Blount
    Pages 163-184
  8. Alexander Blount
    Pages 185-207
  9. Alexander Blount
    Pages 209-230
  10. Alexander Blount
    Pages 231-237
  11. Back Matter
    Pages 239-243

About this book


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, in which patients are fully part of the team that guides their own care, goes against so much of the training and socialization of health professionals and, for that matter, the expectations of many patients.  This is particularly true for patients we sometimes call “complex.” In other contexts, we call them “high utilizers,” “disadvantaged,” “heartsink patients,” or “people with trauma histories.”  Blount calls them “multiply-disadvantaged” patients.  To successfully serve these patients requires our best versions of team-based care, including behavioral health and care management team members, though every member of the team needs help in engaging these patients and mutual support in adapting to the rapid changes in roles that new team approaches are creating.  This book offers a summary of the approaches that are currently in growing use, such as health literacy assessment, motivational interviewing, appreciative inquiry, shared decision making, minimally disruptive care, trauma informed care, enfranchisement coaching, relationship-centered care, and family-informed care.  Finally, it offers a transformative method, based on familiar elements, that is Transparent, Empowering, Activating, and Mutual:  the T.E.A.M. Way.


patient-centered care team-based care behavioral health integration patient empowerment health equity healthcare team

Authors and affiliations

  1. 1.Department of Clinical PsychologyAntioch University New EnglandKeeneUSA

About the authors

Alexander Blount is Professor of Clinical Psychology at Antioch University New England and Professor Emeritus of Family Medicine and Psychiatry at the University of Massachusetts Medical School. He is one of the original thought leaders of integrated behavioral health and has published widely on improving the structure of primary care.  At Antioch, he developed the Major Area of Study in Behavioral Health Integration and Population Health.  He has been a leader in developing the behavioral health workforce for integrated primary care, including both clinicians and other team members, in New Hampshire.

Dr. Blount comes from a position as Professor of Family Medicine and Psychiatry at the University of Massachusetts Medical School where he founded and directed the Center for Integrated Primary Care. Dr. Blount has been practicing, as a clinician, trainer, administrator, author, teacher and consultant for over 40 years. He has been a behavioral health clinician in primary care for almost 20 of those years. He is a member of the National Integration Academy Council guiding the Integration Academy of the Agency for Health Research and Quality. His books include Integrated Primary Care: The Future of Medical and Mental Health Collaboration, published by W. W. Norton. He is Past President of the Collaborative Family Healthcare Association, a national multidisciplinary organization promoting the inclusion of mental health services in medical settings, and he is past Editor of Families, Systems and Health, the Journal of Collaborative Family Healthcare.

Foreword written by Frank DeGruy, MD

Frank Verloin deGruy III, M.D., M.S.F.M., is the Woodward-Chisholm Professor and Chair of the Department of Family Medicine at the University of Colorado School of Medicine, a position he has held since 1999.  Dr. deGruy has served as President of the Collaborative Family Healthcare Association and President of the North American Primary Care Research Group. He is on the Board of Directors of the National Network of Depression Centers and the Family Physicians’ Inquiries Network. He chairs the National Integration Academy Council and sits on the board of the Colorado Institute of Family Medicine.  He has been a member of the Institute of Medicine since 2008.

Bibliographic information

  • Book Title Patient-Centered Primary Care
  • Book Subtitle Getting From Good to Great
  • Authors Alexander Blount
  • DOI
  • Copyright Information Springer Nature Switzerland AG 2019
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-030-17644-0
  • Softcover ISBN 978-3-030-17647-1
  • eBook ISBN 978-3-030-17645-7
  • Edition Number 1
  • Number of Pages XXV, 243
  • Number of Illustrations 8 b/w illustrations, 0 illustrations in colour
  • Topics Primary Care Medicine
    General Practice / Family Medicine
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals


“This book is written for medical students, medical school faculty, and trainers in primary care residency programs. It is also informative for administrators and policymakers looking to advance the care provided by primary care clinicians. … This is a well written, well researched book outlining a possible way to increase positive outcomes in primary care. It is a worthwhile read for anyone involved in medical administration.” (Vincent F Carr, Doody’s Book Reviews, May 15, 2020)