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BL
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| Record Number
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863951
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| Title & Author
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Integrated care for complex patients : : a narrative medicine approach /\ Steven A. Frankel, James A. Bourgeois, editors.
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| Publication Statement
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Cham, Switzerland :: Springer,, 2018.
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| Page. NO
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1 online resource :: illustrations
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| ISBN
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331961214X
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: 9783319612140
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3319612123
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9783319612126
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| Bibliographies/Indexes
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Includes bibliographical references and index.
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| Contents
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Intro; Dedication; Foreword; References; Preface; Acknowledgments; Contents; Contributors; Part I: Overview; Chapter 1: Introduction; References; Chapter 2: Optimized Primary Care for Complex Patients; The Setting for Our Work; Primary Care; Managed Care; Community-Based Primary Care; Medicine on the "Front Lines"; Our Group: The Center for Collaborative Medicine, Psychiatry, and Psychology; References; Chapter 3: Clinical Complexity: The Challenge of Complexity in Medical Practice; How Much Primary and How Much Specialty Care?; Historical Perspective; Complex Patients and Complex Cases.
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Multispecialty Group PracticeMajor Medical Center; Who Actually Delivers the Care?; Primary Care Physicians; Physician Assistant; Nurse Practitioners; Other Physician Support and Supplement Personnel; Care Managers and Case Managers; Integrated Case Managers (ICMs); Other Health-Care Clinicians and Approaches; Outcome: The Result of the Shift of the Responsibility from Physicians to Support Personnel on the Culture of Medicine; Coordination of Care: How do Health-Care Professionals Work Together and Most Effectively Communicate with Patients?; Leadership and Team Models; Collaborative Care.
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Patient-Centered (Primary Care) Medical Home [11]The Medical-Psychiatric Coordinating Physician Model of Care (MPCP); Administrator-Led Models; Concierge Medicine and Other Creative Models; Additional Considerations; Financial; What Physicians Get Paid and for What?; Legal Complexity; References; Chapter 6: Community Care, an Optimal Setting for the Treatment of Complex Cases; A Proposed Model for Primary Care Management of Complex Patients and Cases; Complexity Centers; References; Chapter 7: Introduction to Case Narratives and Narrative Analysis of Our Collected Cases.
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Personal Determinants in Clinical Practice, the Contribution of the Clinician and the PatientClinical Judgment; Decisions by Physicians: The Implementation of Clinical Judgment; Constraints on Practice: Standards of Care: What They Are; How They Are Established; Common Reimbursement Types for Medical Practices; Managed Care; The Rationale for HMO Type of Care Payment Arrangements: The Traditional Fee-For-Service Model Versus Shared Savings; Reconciliation of the Disparate Interests of Practitioner and Economy of Practice; ACOs; Care Delivery, Common Types of Practice; Solo Practice.
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Sub-categories of Clinical ComplexityReferences; Chapter 4: Models for Managing Complex Cases in Both Inpatient and Outpatient Settings; Management of Complex Cases: Institutional Settings; Management of Complex Cases: Community Primary Care Settings; Optimized Management of Complex Patients in Outpatient Settings; Psychiatric Consultation in a Complex Case Treatment Model; Social Evaluation; Examples of Complex Care Models; Reference; Chapter 5: Primary Care Practice: The Structures and Methods Associated with Community-ƯBased Primary Practice.
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| Abstract
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This book presents case-based descriptions of models for the inclusive, multispecialty and multidisciplinary clinical care of complex cases. Cases range from primary care patients with complex systemic medical and psychiatric comorbidity, to those requiring specialty care, to those with potentially terminal illnesses. While each category and case has its unique requirements often necessitating different models of care, the commonalities in approaching complex clinical situations is underscored. Extended case narratives written by the treating physicians, summarizing both the course of clinical care and physicians' reflections on the challenges of managing complex patients, comprise the bulk of the book. Five additional chapters on systems issues associated with care of complex patients, together with a chapter on end of life considerations, a narrative analysis of the physicians reflections about complex patients, and a concluding chapter are prominently included to anchor the case narratives. Written by experts in the field, these descriptions form unique models for assessing and treating complex cases. Integrated Care for Complex Patients is a useful guide for all health practitioners and health administrators who are responsible for clinically complex cases, including physicians in primary care and psychiatry, physician assistants and nurse practitioners, and psychologists.
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| Subject
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Integrated delivery of health care.
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| Subject
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Narrative medicine.
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Clinical internal medicine.
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General practice.
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Integrated delivery of health care.
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Intensive care medicine.
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Narrative medicine.
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POLITICAL SCIENCE-- Public Policy-- Social Security.
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POLITICAL SCIENCE-- Public Policy-- Social Services Welfare.
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| Subject
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Psychiatry.
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| Dewey Classification
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362.1
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| LC Classification
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RA971
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| Added Entry
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Bourgeois, James
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Frankel, Steven A.
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