From the Editor
Oregon has been one of the forefronts in health care transformation facilitated by the Accountable Care Act, Vimalananda and coauthors provide important research findings on patient, primary care physician, and specialist coordination—the true challenge in any effort to transform our health care system.
In separate articles, Saddi and Peckham followed by Macinko and colleagues continue our interest in ambulatory health care transformation occurring outside the United States with an article on primary care pay for performance in Brazil. Nelson et al provide a summary of a comparative study of urban and rural primary care medical home implementation. Pannatoni focuses that critical part of primary care medical home implementation pertaining to those patients with significant chronic illnesses. Kooienga explores our ongoing focus on the electronic health record in ambulatory care with an innovative article examining patient and staff perceptions of implementation. Ming and colleagues examine the ever important discharge planning process. I am continuously reminded by articles such as this and my own clinical practice of the many opportunities for improvement needed if patient-centered medical homes are ever to work. In this case, Ming focuses on the sadly unique perspective of providers.
As always we welcome your feedback, ideas for new theme issues, and comments of any sort.