Research Topics
| Thomas BodenheimerSummaryAffiliation: University of California Country: USA Publications
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Publications
What are the facilitators and barriers in physician organizations' use of care management processes?Thomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, USA
Jt Comm J Qual Saf 30:505-14. 2004....- High and rising health care costs. Part 4: can costs be controlled while preserving quality?Thomas Bodenheimer
University of California, San Francisco, California 94110, USA
Ann Intern Med 143:26-31. 2005..Physicians have a central role to play in fostering these quality-enhancing strategies that can help to slow the growth of health care expenditures... - Insuring the uninsured: will the 2004 election provide an answer?Thomas Bodenheimer
Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California 94110, USA
Ann Intern Med 141:556-61. 2004 - Interventions to improve chronic illness care: evaluating their effectivenessThomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, Building 80 83, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, USA
Dis Manag 6:63-71. 2003..A literature review is provided to summarize the effectiveness of these Chronic Care Model components... - High and rising health care costs. Part 1: seeking an explanationThomas Bodenheimer
Department of Family and Community Medicine, University of California San Francisco, San Francisco General Hospital, San Francisco, California 94110, USA
Ann Intern Med 142:847-54. 2005.... - Practice-based research in primary care: facilitator of, or barrier to, practice improvement?Thomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, 94110, USA
Ann Fam Med 3:S28-32. 2005.... - High and rising health care costs. Part 3: the role of health care providersThomas Bodenheimer
University of California, San Francisco, California 94110, USA
Ann Intern Med 142:996-1002. 2005..Shifting the financial risk of health care costs from insurers to providers, as has been done with the Medicare diagnosis-related-group payment and capitation reimbursement, can also be effective in containing costs... - Confronting the growing burden of chronic disease: can the U.S. health care workforce do the job?Thomas Bodenheimer
Family and Community Medicine, University of California, San Francisco, USA
Health Aff (Millwood) 28:64-74. 2009..To prepare for the growing chronic disease burden, a larger interdisciplinary primary care workforce is needed, and payment for primary care should reward practices that incorporate multidisciplinary teams... - High and rising health care costs. Part 2: technologic innovationThomas Bodenheimer
Department of Family and Community Medicine, University of California, San Francisco, San Francisco General Hospital, San Francisco, California 94110, USA
Ann Intern Med 142:932-7. 2005..Although diffusion of technology takes place more slowly in more tightly budgeted systems, the use of innovative technologies in those systems tends to catch up over time... - Improving primary care for patients with chronic illness: the chronic care model, Part 2Thomas Bodenheimer
Family and Community Medicine, University of California, San Francisco, USA
JAMA 288:1909-14. 2002..Even though the chronic care model has the potential to improve care and reduce costs, several obstacles hinder its widespread adoption... - An empirical assessment of high-performing medical groups: results from a national studyStephen M Shortell
University of California, Berkeley, CA, USA
Med Care Res Rev 62:407-34. 2005..The findings hold a number of important implications for policy and practice, and the framework presented provides a foundation for future research... - Organizational factors affecting the adoption of diabetes care management processes in physician organizationsRui Li
School of Public Health, University of California, Berkeley, USA
Diabetes Care 27:2312-6. 2004..To describe the extent of adoption of diabetes care management processes in physician organizations in the U.S. and to investigate the organizational factors that affect the adoption of diabetes care management processes... - Using action plans to help primary care patients adopt healthy behaviors: a descriptive studyMargaret Handley
Department of Family and Community Medicine, University of California at San Francisco, USA
J Am Board Fam Med 19:224-31. 2006..CONCLUSIONS: Most patients reported making a behavior change based on an action plan, suggesting that action plans may be a useful strategy to encourage behavior change for patients seen in primary care... - Health coaching to improve hypertension treatment in a low-income, minority populationDavid Margolius
Department of Family and Community Medicine, University of California San Francisco, CA 94110, USA
Ann Fam Med 10:199-205. 2012..We conducted a study to determine whether health coaching with home titration of antihypertensive medications can improve blood pressure control compared with health coaching alone in a low-income, predominantly minority population... - Delegating responsibility from clinicians to nonprofessional personnel: the example of hypertension controlDavid Margolius
Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA 94110, USA
J Am Board Fam Med 25:209-15. 2012..This study explores clinicians' perspectives on working with nonclinicians trained as "health coaches" to address medication adherence and lack of medication intensification among low-income patients with uncontrolled hypertension... - Behavior-change action plans in primary care: a feasibility study of cliniciansKate MacGregor
Department of Family and Community Medicine, University of California at San Francisco, USA
J Am Board Fam Med 19:215-23. 2006..CONCLUSIONS: Collaborative goal-setting between clinicians and patients for improved health behaviors is viewed favorably by clinicians in primary care. Time constraints could be addressed by delegating goal-setting to other caregivers... - The health care problem no one's talking aboutRachel Berry-Millett
Department of Family and Community Medicine, University of California San Francisco, SF General Hospital, 995 Potrero Avenue, San Francisco, CA 94110, USA
J Fam Pract 58:633-7. 2009..While the nation focuses on expanding health coverage, growing numbers of insured Americans lack access to primary care. We've identified 8 barriers--and the means to overcome them... - Improving primary care for patients with chronic illnessThomas Bodenheimer
Family and Community Medicine, University of California, San Francisco, USA
JAMA 288:1775-9. 2002..Case studies are provided describing how components of the chronic care model have been implemented in the primary care practices of 4 health care organizations... - The primary care-specialty income gap: why it mattersThomas Bodenheimer
University of California, San Francisco, San Francisco, California, USA
Ann Intern Med 146:301-6. 2007..Payment reform is essential to guarantee a healthy primary care base to the U.S. health care system... - The effectiveness of peer health coaching in improving glycemic control among low-income patients with diabetes: protocol for a randomized controlled trialAmireh Ghorob
Department of Family and Community Medicine, University of California, San Francisco UCSF, 995 Potrero Ave, Building 80 83, San Francisco, CA 94110, USA
BMC Public Health 11:208. 2011..Given the limited body of evidence that demonstrates peer coaching significantly improves chronic disease care, this present study examines the impact of peer coaching delivered in a primary care setting on diabetes outcomes... - Can health care teams improve primary care practice?Kevin Grumbach
Department of Family and Community Medicine, University of California at San Francisco, USA
JAMA 291:1246-51. 2004..A number of barriers to team formation exist, chiefly related to the challenges of human relationships and personalities. Taking small steps toward team development may improve the work environment in primary care practices... - Primary care's eroding earnings: is congress concerned?Brian Yoshio Laing
Department of Family and Community Medicine, University of California, San Francisco, CA 94110, USA
J Fam Pract 57:578-83. 2008..Congress has the power to intervene in this impending crisis. If we want to influence lawmakers' actions, we need to know how they are thinking about these issues... - Helping patients improve their health-related behaviors: what system changes do we need?Thomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, San Francisco, California 94110, USA
Dis Manag 8:319-30. 2005..However, until the medical care system regularly offers adequate information and encourages collaborative decision-making, it is improper to place the responsibility for unhealthy behaviors onto patients... - Using the Teamlet Model to improve chronic care in an academic primary care practiceEllen H Chen
Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA 94110, USA
J Gen Intern Med 25:S610-4. 2010..Team care can improve management of chronic conditions, but implementing a team approach in an academic primary care clinic presents unique challenges... - Moving from evidence-based medicine to evidence-based healthDavid Moskowitz
Division of General Internal Medicine, University of California San Francisco, San Francisco General Hospital, San Francisco, CA, USA
J Gen Intern Med 26:658-60. 2011..A perspective of evidence-based health may encourage physicians to consider their role in upstream efforts to combat socially patterned chronic disease... - Coordinating care--a perilous journey through the health care systemThomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, San Francisco General Hospital, San Francisco, USA
N Engl J Med 358:1064-71. 2008 - Primary care in the United States. Innovations in primary care in the United StatesThomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, USA
BMJ 326:796-9. 2003 - Electronic technology: a spark to revitalize primary care?Thomas Bodenheimer
Department of Family and Community Medicine, University of California, San Francisco, USA
JAMA 290:259-64. 2003..If primary care practices are to benefit from the electronic revolution, they must redesign their clinical processes to ensure that e-health facilitates rather than hinders the work of physicians... - Primary care--will it survive?Thomas Bodenheimer
Center for Excellence in Primary Care in the Department of Family and Community Medicine, University of California, San Francisco, USA
N Engl J Med 355:861-4. 2006 - The myth of the lone physician: toward a collaborative alternativeGeorge W Saba
University of California, San Francisco at the San Francisco General Hospital, San Francisco, California, USA
Ann Fam Med 10:169-73. 2012..This new mythology better fulfills the collaborative, interprofessional, patient-centered needs of new models of care, and might help to ensure that the work of primary care physicians remains compassionate, gratifying, and meaningful... - Facilitating improvement in primary care: the promise of practice coachingKevin Grumbach
Department of Family and Community Medicine, University of California, San Francisco School of Medicine, USA
Issue Brief (Commonw Fund) 15:1-14. 2012..The authors argue that primary care delivery in the United States would benefit from a more systematic approach to the training and deployment of primary care practice coaches... - A 63-year-old man with multiple cardiovascular risk factors and poor adherence to treatment plansThomas Bodenheimer
San Francisco General Hospital, San Francisco, CA 94110, USA
JAMA 298:2048-55. 2007..These failures reflect the difficulty faced by clinicians attempting to address multiple issues while providing sufficient information and engaging in collaborative decision making during a brief clinical visit... - The movement for universal health insurance: finding common groundThomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, USA
Am J Public Health 93:112-5. 2003..The goals can serve as a measuring stick to determine which health insurance plans are worthy of support... - The not-so-sad history of Medicare cost containment as told in one chartThomas Bodenheimer
Department of Family and Community Medicine, University of California, San Francisco, USA
Health Aff (Millwood) . 2002 - The teamlet model of primary careThomas Bodenheimer
Department of Family and Community Medicine, University of California, San Francisco, Calif 94110, USA
Ann Fam Med 5:457-61. 2007..Some organizations have instituted aspects of the teamlet model. Primary care practices interested in trying out the teamlet concept need to train 2 health coaches for each full-time equivalent clinician to ensure smooth patient flow... - Patient self-management of chronic disease in primary careThomas Bodenheimer
Department of Family and Community Medicine, University of California, San Francisco, USA
JAMA 288:2469-75. 2002..Self-management education for chronic illness may soon become an integral part of high-quality primary care... - Goal-setting for behavior change in primary care: an exploration and status reportThomas Bodenheimer
University of California at San Francisco, School of Medicine, San Francisco, CA 94110, USA
Patient Educ Couns 76:174-80. 2009..This paper explores the behavior change method of goal-setting and reviews the literature on goal-setting in primary care for patients with chronic conditions... - The use of patient and physician reminders for preventive services: results from a National Study of Physician OrganizationsJulie Schmittdiel
Division of Health Policy and Management, School of Public Health, University of California, Berkeley, CA 94720, USA
Prev Med 39:1000-6. 2004..Little is known about the incentives, capabilities, and organizational characteristics associated with the use of reminders by physician organizations... - Primary care: current problems and proposed solutionsThomas Bodenheimer
Center for Excellence in Primary Care, University of California, San Francisco, CA, USA
Health Aff (Millwood) 29:799-805. 2010..A variety of strategies are being tried to improve primary care access, even without a large increase in the primary care workforce... - The political divide in health care: a liberal perspectiveThomas Bodenheimer
Department of Family and Community Medicine, University of California, San Francisco, USA
Health Aff (Millwood) 24:1426-35. 2005.... - A primary care home for Americans: putting the house in orderKevin Grumbach
San Francisco General Hospital, Ward 83, 1001 Potrero Ave, San Francisco, CA 94110, USA
JAMA 288:889-93. 2002..Fundamental redesign is needed to improve access to and quality of care while easing physicians' workload without causing major increases in health care costs... - The action plan project: discussing behavior change in the primary care visitKate MacGregor
Department of Family and Community Medicine, University of California at San Francisco, 94110, USA
Ann Fam Med 3:S39-40. 2005 - The effectiveness of health coaching, home blood pressure monitoring, and home-titration in controlling hypertension among low-income patients: protocol for a randomized controlled trialHeather Bennett
Department of Family and Community Medicine, University of California, San Francisco UCSF, 1001 Potrero Ave, Building 80 83, San Francisco, CA 94110, USA
BMC Public Health 9:456. 2009..quot; The present trial evaluates an intervention consisting of health coaching, home blood pressure monitoring, and home medication titration as a method to address these three causes of poor hypertension control... - Estimating a reasonable patient panel size for primary care physicians with team-based task delegationJustin Altschuler
Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California 94110, USA
Ann Fam Med 10:396-400. 2012.... - Lessons from my left footThomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, San Francisco, CA 94110, USA
Ann Fam Med 8:550-1. 2010..These feelings need to be elicited and addressed when family physicians provide care to people with chronic conditions... - Two advertisements for TV drug adsThomas Bodenheimer
University of California, San Francisco, USA
Health Aff (Millwood) . 2003..Rather than informing the debate, the study amounts to little more than an advertisement for drug advertisements... - Making systemwide improvements in health care: Lessons from Jönköping County, SwedenThomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, CA, USA
Qual Manag Health Care 16:10-5. 2007..The United States could benefit by instituting Qulturum-like centers of learning and innovation within health systems... - As good as it gets? Chronic care management in nine leading US physician organisationsThomas G Rundall
University of California at Berkeley, School of Public Health, Division of Health Policy and Management, 140 Warren Hall, Berkeley, California, USA
BMJ 325:958-61. 2002 - External incentives, information technology, and organized processes to improve health care quality for patients with chronic diseasesLawrence Casalino
Department of Health Studies, The University of Chicago, 5841 S Maryland Ave, MC 2007, Chicago, Ill 60637, USA
JAMA 289:434-41. 2003..Research is lacking about the extent to which POs use CMPs or about the degree to which incentives, IT, or other factors are associated with their use... - Improving timely access to primary care: case studies of the advanced access modelMark Murray
Mark Murray and Associates, Sacramento, Calif, USA
JAMA 289:1042-6. 2003..The lessons of these case studies should be useful for primary care practices desiring to improve timely access to care and wishing to avoid the pitfalls that can derail this innovation... - Effect of primary health care orientation on chronic care managementJulie A Schmittdiel
Kaiser Permanente Northern California Division of Research, Oakland, Calif 94612, USA
Ann Fam Med 4:117-23. 2006..This study examined the relationship between primary care orientation and the implementation of the CCM in physician organizations... - Specialty-service lines: salvos in the new medical arms raceRobert A Berenson
Urban Institute in Washington, DC, USA
Health Aff (Millwood) 25:w337-43. 2006..However, as the scope of care that can be safely performed in the outpatient arena expands, physician competition for control over specialty services may threaten hospitals' financial health... - Planned visits to help patients self-manage chronic conditionsThomas Bodenheimer
Am Fam Physician 72:1454, 1456. 2005 - Brief report: The prevalence and use of chronic disease registries in physician organizations. A national surveyJulie Schmittdiel
Kaiser Permanente Northern California Division of Research, Oakland, CA, USA
J Gen Intern Med 20:855-8. 2005..CONCLUSIONS: Disease registries are not utilized by half of physician organizations. This finding is disturbing because registries have the potential to catalyze needed improvement in chronic care management... - Nurses as leaders in chronic careThomas Bodenheimer
BMJ 330:612-3. 2005 - Strategies to improve diabetes careThomas Bodenheimer
Am Fam Physician 68:1500, 1503-4, 1506. 2003 - What now? Practical advice on how to reduce medical and pharmacy costsThomas Bodenheimer
Manag Care 16:36-7. 2007 - Employers' efforts to measure and improve hospital quality: determinants of successAteev Mehrotra
Harvard Combined Medicine/Pediatrics Program, USA
Health Aff (Millwood) 22:60-71. 2003..We describe these conflicts and offer recommendations for future hospital report cards... - Coordinating care: a major (unreimbursed) task of primary careThomas Bodenheimer
Ann Intern Med 147:730-1. 2007 - Primary care: can it solve employers' health care dilemma?Martin J Sepulveda
Global Well Being Services and Health Benefits, IBM Corporation, Somers, New York, USA
Health Aff (Millwood) 27:151-8. 2008..Through the Patient-Centered Primary Care Collaborative and other efforts, some large employers are engaged in initiatives to strengthen primary care...