ITEMS IN FPM ON TOPIC:
The article, based on four years of experience at one medical group, describes the advantages and challenges of using group visits to help manage the care of patients with chronic diseases.
The article will describe strategies for improving the care of patients with chronic diseases, including how to secure physician buy-in of the chronic care model and how to sustain improvements in patient outcomes.
Argues that, while the implementation of the chronic care model described in the cover story ended up not to be self-supporting, family practices may be able to implement pieces of the model usefully without significant cost.
It makes no sense for medical insurance companies to do chronic disease management. Their role is to manage money. Primary care physicians can do chronic disease management right and for the right reasons. We must be paid for implementing these programs and paid to sustain them.
The author, a member of the faculty for the AAFP/NICHQ asthma collaborative, describes his practice's approach to planned asthma care and offers an approach that other practices can use.
Argues that, even given all the barriers, practice improvement effort can pay off in enough ways that it is worth the effort.
The article features 12 "big ideas" in current practice management thinking, submitted by family physicians and selected by a panel of experts.
May 2004 Issue
Patient-Physician Partnering to Improve Chronic Disease Care [Improving Patient Care]
The article explains how a physician-patient agreement can help patients with chronic diseases become more involved in their care and have better outcomes.
This article describes how point-of-care anticoagulation devices can make warfarin therapy more patient-focused.
The article explains how one family practice uses a "medication use agreement" to prevent medication misuse while helping patients who suffer from chronic pain.