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Introduction to special edition: The challenge of chronic non-communicable disease and the opportunity for transforming health care through primary care based population health management

Family Medicine and Community Health

Family Medicine and Community Health & American Chinese Medical Education Association

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      Achieving Health Care Cost Containment Through Provider Payment Reform That Engages Patients And Providers

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        “Three essential elements” of the primary health care system: A comparison between California in the US and Guangdong in China

         Minfang Huang,  Donghai Wei (corresponding) ,  Louis Rubino (2015)
        The primary health care system (PHCS) is the portal and basis for the national health delivery system. There are a number of elements which comprise the PHCS, but the system cannot be established and developed without the support of “three essential elements,” including general practitioners (GPs), health insurance, and government health investment. Through comparative analysis of the “three essential elements” of the PHCS between California in the US and Guangdong in China, this article indicates that there are three important aspects in developing a PHCS in China, as follows: training qualified GPs; establishing a diversified health insurance system to strengthen the policy connections between health insurance and the PHCS thereby increasing government health investment; and broadening health financing channels.
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          A population-based approach to the management of depression in a patient-centered medical home

           Gwynneth Schell,  Kenneth Kushner (corresponding) (2015)
          Objective: This article describes the implementation of a population-based strategy to manage depression in a patient-centered medical home.Methods: Review of English language articles; description of specific protocols utilized in one medical home.Results: Depression is a global concern estimated to affect 350 million people worldwide. Rates for depression vary between the United States and the Peoples’ Republic of China, possibly due to significant factors in under diagnosis of this often hidden burden. Given the comorbidity of depression with other health factors and the need for ongoing monitoring and care of this chronic illness, primary care has become a significant part of treatment interventions. Utilizing electronic health records (EHR), our strategy included the creation of a patient registry; selection of evidence-based treatment guidelines and protocols for point of care procedures; patient outreach and screening.Conclusion: The population-based program we outline is highly dependent on the EHR and the flexibility of roles and responsibilities of clinical staff. Further investigation is warranted into improved patient outcomes.
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            Author and article information

            Journal
            10.15212/FMCH.2015.0110

            https://creativecommons.org/licenses/by-nc/4.0/

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