TY - JOUR KW - Interprofessional Relations KW - Medical Informatics KW - Patient Care Team KW - Physician's Role KW - Physicians, Family KW - Primary Health Care/organization & administration/standards KW - Quality of Health Care KW - Referral and Consultation KW - United States AU - C. J. Stille AU - A. Jerant AU - D. Bell AU - D. Meltzer AU - J. G. Elmore A1 - AB - 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. BT - Annals of Internal Medicine C5 - Education & Workforce; HIT & Telehealth; Healthcare Policy CP - 8 CY - United States IS - 8 JF - Annals of Internal Medicine N2 - 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. PP - United States PY - 2005 SN - 1539-3704; 0003-4819 SP - 700 EP - 708 EP - T1 - Coordinating care across diseases, settings, and clinicians: A key role for the generalist in practice T2 - Annals of Internal Medicine TI - Coordinating care across diseases, settings, and clinicians: A key role for the generalist in practice U1 - Education & Workforce; HIT & Telehealth; Healthcare Policy U2 - 15838089 VL - 142 VO - 1539-3704; 0003-4819 Y1 - 2005 ER -