BACKGROUND The Patient-centered Medical Home (PCMH) model provides a roadmap for practices engaged in practice transformation to improve quality, accessibility, and satisfaction. Primary care residencies can use these principles to transform their practices, but it is unclear how best to facilitate this transformation. This paper describes the design, implementation, and initial outcomes of an ...

BACKGROUND Mental-physical multi-morbidities pose challenges for primary care services that traditionally focus on single diseases. Collaborative care models encourage inter-professional working to deliver better care for patients with multiple chronic conditions, such as depression and long-term physical health problems. Successive trials from the United States have shown that collaborative ca...

Method Fourteen federally qualified community health centers (FQHCs) in Seattle and King County, Washington participated (2008-2015) in an effort to implement collaborative care for depression in high risk mothers. An expert panel based framework was used to identify key elements of the collaborative care model. This theory based framework guided operationalization of fidelity measures of this ...

Refugees tend to have greater vulnerability compared to the general population reporting greater need for physical, emotional, or dental problems compared to the general population. Despite the importance of creating strong primary care supports for these patients, it has been demonstrated that there is a significant gap in accessing primary care providers who are willi...

UNLABELLED Collaborative care models for depression in primary care are effective and cost-effective, but difficult to spread to new sites. Translating Initiatives for Depression into Effective Solutions (TIDES) is an initiative to promote evidence-based collaborative care in the U.S. Veterans Health Administration (VHA). Social marketing applies marketing techniques to promote positive behavio...

The Social Union framework agreement and the Health Accord provide examples of the close relationship that exists between federalism and the delivery of health care. These recent agreements represent a move from a federal-unilateral style of federalism to a more collaborative model. This shift will potentially affect federal funding for health care, interpretation of the Canada Health Act and t...

background and aim: in recent years, the importance of families’ active participation in care delivery has increased dramatically. nurses’ attitude is a key factor in the implementation and the success of programs which actively involve families in critical care delivery. the purpose of this study was to analyze the effects of relatives’ participation in critical care delivery on nurses’ attitu...

UNLABELLED Physician led collaborative drug therapy management utilizing clinical pharmacists to aid in the medication management of patients with hypertension has been shown to improve blood pressure control. With recommendations for lower blood pressures in patients with coronary artery disease, a cardiologist-pharmacist collaborative care model may be a novel way to achieve these more rigoro...