Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis.

Background: Little is known as to whether primary care teams' perceptions of how well they have implemented the Chronic Care Model (CCM) corresponds with their patients' own experience of chronic illness care. We examined the extent to which practice members' perceptions of how well they organized to deliver care consistent with the CCM were associated with their patients' perceptions of the chronic illness care they have received.

Methods: Analysis of baseline measures from a cluster randomized controlled trial testing a practice facilitation intervention to implement the CCM in small, community-based primary care practices.

The importance of relational coordination and reciprocal learning for chronic illness care within primary care teams.

Background: Recent research from a complexity theory perspective suggests that implementation of complex models of care, such as the Chronic Care Model (CCM), requires strong relationships and learning capacities among primary care teams.

Purposes: Our primary aim was to assess the extent to which practice member perceptions of relational coordination and reciprocal learning were associated with the presence of CCM elements in community-based primary care practices.

Methodology/approach: We used baseline measures from a cluster randomized controlled trial testing a practice facilitation intervention to implement the CCM and improve risk factor control for patients with Type 2 diabetes in small primary care practices.

Prevalence and severity of urinary incontinence in elderly Mexican-American women.

Objectives: To measure prevalence and characteristics of urinary incontinence in older Mexican-American women.

Design: Cross-sectional analysis of a longitudinal survey of a representative sample of older Mexican Americans.

Setting: Five southwestern states in the United States.