Patient-Centered Primary Care

Getting From Good to Great

  • Alexander Blount

Table of contents

  1. Front Matter
    Pages i-xxv
  2. Alexander Blount
    Pages 1-15
  3. Alexander Blount
    Pages 77-92
  4. Alexander Blount
    Pages 109-130
  5. Alexander Blount
    Pages 131-146
  6. Alexander Blount
    Pages 147-162
  7. Alexander Blount
    Pages 163-184
  8. Alexander Blount
    Pages 185-207
  9. Alexander Blount
    Pages 209-230
  10. Alexander Blount
    Pages 231-237
  11. Back Matter
    Pages 239-243

About this book


There have been great strides made in designing the administrative structures of patient-centered care, but it is still difficult to design truly patient-centered clinical routines that the entire healthcare team can enact.  The kind of partnership, in which patients are fully part of the team that guides their own care, goes against so much of the training and socialization of health professionals and, for that matter, the expectations of many patients.  This is particularly true for patients we sometimes call “complex.” In other contexts, we call them “high utilizers,” “disadvantaged,” “heartsink patients,” or “people with trauma histories.”  Blount calls them “multiply-disadvantaged” patients.  To successfully serve these patients requires our best versions of team-based care, including behavioral health and care management team members, though every member of the team needs help in engaging these patients and mutual support in adapting to the rapid changes in roles that new team approaches are creating.  This book offers a summary of the approaches that are currently in growing use, such as health literacy assessment, motivational interviewing, appreciative inquiry, shared decision making, minimally disruptive care, trauma informed care, enfranchisement coaching, relationship-centered care, and family-informed care.  Finally, it offers a transformative method, based on familiar elements, that is Transparent, Empowering, Activating, and Mutual:  the T.E.A.M. Way.


patient-centered care team-based care behavioral health integration patient empowerment health equity healthcare team

Authors and affiliations

  • Alexander Blount
    • 1
  1. 1.Department of Clinical PsychologyAntioch University New EnglandKeeneUSA

Bibliographic information