Abstract
This chapter provides readers with an introduction of the evolution of primary care from physician-centric to team-based care, in line with the aspirations of the Patient-Centered Medical Home (PCMH) model. Large healthcare systems such as the Department of Defense have led the way in demonstrating the value of PCBH implementation as a part of this larger development. Community health centers are now required to integrate behavioral health providers into PC to receive federal funds for expansion. All of these factors are helping primary care better address the needs of an increasing large number of people seeking care as the result of healthcare reform.
While providing details about these developments, this chapter also describes the mission and function of PC and its fundamental role in the healthcare system. It also provides a glossary of terms used in today’s conversations about healthcare innovation and laws related to the delivery of healthcare services. This chapter concludes with descriptions of the specific roles and practice habits of the BHC’s teammates in the new PCMH.
“In theory there is no difference between theory and practice. In practice there is.”
Yogi Berra
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References
Agency for Healthcare Research and Quality. (2014). Defining the PCMH. http://www.pcmh.ahrq.gov. Accessed June 14, 2014.
Altschuler, J., Margolius, D., Bodenheimer, T., & Grumbach, K. (2012). Estimating a reasonable patient panel size for primary care physicians with team-based task delegation. Annals of Family Medicine, 10(5), 396–400.
American Association of Naturopathic Physicians. (2014). http://www.naturopathic.org. Accessed August 20, 2014.
American Psychological Association Practice Association. (2009). Health care reform: Congress should ensure that psychologists’ services are key in primary care initiatives. www.apapractice.org. Accessed July 10, 2013.
Auerbach, D. I., Chen, P. G., Friedberg, G. W., Reid, R. O., Lau, C., Buerhaus, P. I., et al. (2013). Nurse-managed health centers and patient-centered medical homes could mitigate expected primary care physician shortage. Health Affairs, 32(11), 1933–1941.
Cooper, R. A. (2007). New directions for nurse practitioners and physician assistants in an era of physician shortages. Academic Medicine, 82(9), 827–828.
Freeman, D. (2011). Blending behaviorists into the patient centered health care home. In N. A. Cummings & W. T. O’Donohue (Eds.), Understanding the behavioral health care crisis: The promise of integrated care and diagnostic reform. New York: Routledge.
Hoff, T., Weller, W., & DePuccio, M. (2012). The patient-centered medical home: A review of recent research. Medical Care Research and Review, 69(6), 619–644.
Institute of Medicine of the National Academies. (1996, January 1). Primary care: America’s health in a new era. Washington, DC: Institute of Medicine. http://www.iom.edu/CMS/3809/27706.aspx. Accessed June 23, 2005.
Katon, W., Robinson, P., Von Korff, M., Lin, E., Bush, T., Ludman, E., et al. (1996). A multifaceted intervention to improve treatment of depression in primary care. Archives of General Psychiatry, 53, 924–932.
McGlynn, E. A., Asch, S. M., Adams, J., Keesey, J., Hicks, J., DeCristofaro, A., et al. (2003). The quality of health care delivered to adults in the United States. New England Journal of Medicine, 348(26), 2635–2645.
Østbye, T., Yarnall, K. S. H., Krause, K. M., Pollak, K. I., Gradison, M., & Michener, J. L. (2005). Is there time for management of patients with chronic diseases in primary care? Annals of Family Medicine, 3(3), 209–214.
Peikes, D., Zutshi, A., Genevro, J. L., Parchman, M. L., & Meyers, D. S. (2012). Early evaluations of the medical home: Building on a promising start. American Journal of Managed Care, 18(2), 105–116.
Petterson, S. M., Liaw, W. R., Phillips, R. L., Rabin, D. L., Meyers, D. S., & Bazemore, A. W. (2012). Projecting U.S. primary care physician workforce needs: 2010–2025. Annals of Family Medicine, 10(6), 503–509.
Reid, R. J., Coleman, K., Johnson, E. A., Fishman, P. A., Hsu, C., Soman, M. P., et al. (2010, May). The group health medical home at year two: Cost savings, higher patient satisfaction, and less burnout for providers. Health Affairs, 29(5), 835–843. doi:10.1377/hlthaff.2010.0158.
Robinson, P., Bush, T., Von Korff, M., Katon, W., Lin, E., Simon, G. E., et al. (1995). Primary care physician use of cognitive behavioral techniques with depressed patients. Journal of Family Practice, 40(4), 352–357.
Rosenthal, T. C. (2008). The medical home: Growing evidence to support a new approach to primary care. Journal of the American Board of Family Medicine, 21(5), 427–440.
Scherger, J. E. (2010). It’s time to optimize primary care for a healthier population. Medical Economics, 87(23), 86–88.
Starfield, B. (2007). Family medicine should encourage its clinicians to subspecialize: Negative position. In S. Buetow & T. Kenealy (Eds.), Ideological debates in family medicine. Auckland: Nova Science Publishers.
Starfield, B. (2008). Refocusing the system. New England Journal of Medicine, 359, 2087–2091.
Starfield, B., Shi, L., & Macinko, J. (2005). Contribution of primary care to health systems and health. The Millbank Quarterly: A Multidisplinary Journal of Population Health and Health Policy, 83(3), 457–502.
Stiefel, M., & Nolan, K. (2012). A guide to measuring the triple aim: Population health, experience of care, and per capita cost. IHI Innovation Series white paper. Cambridge, MA: Institute for Healthcare Improvement. http://www.IHI.org. Accessed June 6, 2014.
Yarnall, K. S., Pollack, K. I., Ostbye, T., Kraus, K. M., & Michener, J. L. (2003). Primary care: Is there enough time for prevention? American Journal of Public Health, 93(4), 635–641.
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Robinson, P.J., Reiter, J.T. (2016). A Primer on Primary Care. In: Behavioral Consultation and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-13954-8_2
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DOI: https://doi.org/10.1007/978-3-319-13954-8_2
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