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In Brief Usual medical care is not organized to make for effective and productive interaction between medical providers and their patients. This article highlights this problem by describing a typical office visit from the perspectives of a patient and a primary care physician. It then describes the development of the Chronic Care Model, which provides practical suggestions for how to change several aspects of the organization and delivery of health care to improve this situation.

Constructing a Bridge Across the Quality Chasm: A Practical Way to Get Healthier, Happier Patients, Providers, and Health Care Delivery Systems