Care in free clinics.

Primary Care Clinics and Accountable Care Organizations

BACKGROUND The Accountable Care Organization (ACO) is one of the new models of health care delivery in the U.S. To date, little is known about the characteristics of health care organizations that have joined ACOs. We report on the findings of a survey of primary care clinics, the objective of which was to investigate the opinions of clinic management about participation in ACOs, and the charac...

Cooperative clinics revolutionizing primary care in Nepal.

The women’s cooperative clinic in Kathmandu, Nepal, takes up two small rooms in a building on a hill where the city’s brightly-painted, low-rise apartment buildings end and a rolling, green field of small family plots begins. There is a thin lumpy mattress on an examining bed; a small shelf of antibiotics and a tray with contents that seem to have been transported from the 1930s (a tongue compr...

Interdisciplinary care clinics in chronic kidney disease

The burden of chronic kidney disease (CKD) is substantial, and is associated with high hospitalization rates, premature deaths, and considerable health care costs. These factors provide strong rationale for quality improvement initiatives in CKD care. The interdisciplinary care clinic (IDC) has emerged as one solution to improving CKD care. The IDC team may include other physicians, advanced pr...

Assessing chronic illness care for diabetes in primary care clinics.

BACKGROUND The Chronic Illness Care model suggests that six structural dimensions of primary care teams are important in improving the quality of diabetes care. A study was conducted to assess the degree to which these dimensions, as represented in the Assessment of Chronic Illness Care (ACIC) survey, are implemented in primary care practices and to examine their relationship with selected qual...

Providing Chronic Care for the Uninsured: The Role of Free Clinics