Coordinating Care across Diseases, Settings, and Clinicians: A Key Role for the Generalist in Practi

Authors, Primary Stille,Christopher J.;Jerant,Anthony;Bell,Douglas;Meltzer,David;Elmore,Joann G.
Title Primary Coordinating Care across Diseases, Settings, and Clinicians: A Key Role for the Generalist in Practice
Periodical Full Annals of Internal Medicine
Pub Year 2005
Volume 142
issue 8
Start Page 700-708
Abstract Coordinated care is a defining principle of primary care, but it is becoming increasingly difficult to provide as the health care delivery system in the United States becomes more complex. To guide recommendations for research and practice, the evidence about implementation of coordinated care and its benefits must be considered. On the basis of review of the published literature this article makes recommendations concerning needs for a better-developed evidence base to substantiate the value of care coordination, generalist practices to be the hub of care coordination for most patients, improved communication among clinicians, a team approach to achieve coordination, integration of patients and families as partners, and incorporation of medical informatics. Although coordination of care is central to generalist practice, it requires far more effort than physicians alone can deliver. To make policy recommendations, further work is needed to identify essential elements of care coordination and prove its effectiveness at improving health outcomes.
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Place of Publication Not Available
Author/Address From University of Massachusetts Medical School, Worcester, Massachusetts; University of California, Davis, Sacramento, and University of California, Los Angeles, Los Angeles, California; University of Chicago, Chicago, Illinois; and University )
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Care Coordination;Health Information Technology
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece Yes
Historical Publication No
Key/Foundational Article No
Literature Review No
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Summary of Article Rating No