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Grewenow R, Tuepker A, Ohl M. Integrating VA Specialty and Primary Care and Improving the Referral Process. [Cyberseminar]. 2012 Dec 19.
Why specialty-primary care integration is important - Evidence of multiple perceived deficiences in the process (Mehrotra et al 2011, Bodenheimer 2008) - but little evidence of what works to fix it - Conceptually, improved primary-specialty care integration could contribute to - Improved patient health outcomes - Better patient experience - More efficient use of system resources - PACT requires a systemic culture change to succeed - limiting it to primary care creates organizational challenges (and rivalries)
