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Research ArticleOriginal Research

Understanding Care Integration from the Ground Up: Five Organizing Constructs that Shape Integrated Practices

Deborah J. Cohen, Bijal A. Balasubramanian, Melinda Davis, Jennifer Hall, Rose Gunn, Kurt C. Stange, Larry A. Green, William L. Miller, Benjamin F. Crabtree, Mary Jane England, Khaya Clark and Benjamin F. Miller
The Journal of the American Board of Family Medicine September 2015, 28 (Supplement 1) S7-S20; DOI: https://doi.org/10.3122/jabfm.2015.S1.150050
Deborah J. Cohen
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
PhD
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Bijal A. Balasubramanian
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
MBBS, PhD
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Melinda Davis
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
PhD
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Jennifer Hall
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
MPH
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Rose Gunn
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
MA
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Kurt C. Stange
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
MD, PhD
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Larry A. Green
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
MD
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William L. Miller
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
MD, MA
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Benjamin F. Crabtree
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
PhD
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Mary Jane England
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
MD
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Khaya Clark
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
PhD
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Benjamin F. Miller
From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
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Article Information

vol. 28 no. Supplement 1 S7-S20
DOI 
https://doi.org/10.3122/jabfm.2015.S1.150050
PubMed 
26359474

Published By 
The Journal of the American Board of Family Medicine
Print ISSN 
1557-2625
Online ISSN 
1558-7118
History 
  • Received for publication February 6, 2015
  • Revision received May 8, 2015
  • Accepted for publication May 22, 2015
  • Published online September 9, 2015.

Copyright & Usage 
© Copyright 2015 by the American Board of Family Medicine.

Author Information

  1. Deborah J. Cohen, PhD,
  2. Bijal A. Balasubramanian, MBBS, PhD,
  3. Melinda Davis, PhD,
  4. Jennifer Hall, MPH,
  5. Rose Gunn, MA,
  6. Kurt C. Stange, MD, PhD,
  7. Larry A. Green, MD,
  8. William L. Miller, MD, MA,
  9. Benjamin F. Crabtree, PhD,
  10. Mary Jane England, MD,
  11. Khaya Clark, PhD and
  12. Benjamin F. Miller, PsyD
  1. From the Departments of Family Medicine and of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center, Houston School of Public Health (BAB); Harold Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX (BAB); Oregon, Rural Practice-Based Research Network (MD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, JH, RG, KC); Department of Epidemiology & Biostatistics, Sociology and the Case Comprehensive Cancer Center, and Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, OH (KCS); Department of Family Medicine, University of Colorado School of Medicine, Aurora (LAG, BFM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine and Community Health, Rutgers–Robert Wood, Johnson Medical School, Somerset, NJ (BFC); Department of Health Policy and Management, Boston University School of Public, Health, Boston, MA (MJE)
  1. Corresponding author: Deborah Cohen, PhD, Oregon Health & Science University, School of Medicine, Mail Code: FM, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098 (E-mail: cohendj{at}ohsu.edu).
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The Journal of the American Board of Family     Medicine: 28 (Supplement 1)
The Journal of the American Board of Family Medicine
Vol. 28, Issue Supplement 1
September-October 2015
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Understanding Care Integration from the Ground Up: Five Organizing Constructs that Shape Integrated Practices
Deborah J. Cohen, Bijal A. Balasubramanian, Melinda Davis, Jennifer Hall, Rose Gunn, Kurt C. Stange, Larry A. Green, William L. Miller, Benjamin F. Crabtree, Mary Jane England, Khaya Clark, Benjamin F. Miller
The Journal of the American Board of Family Medicine Sep 2015, 28 (Supplement 1) S7-S20; DOI: 10.3122/jabfm.2015.S1.150050

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Understanding Care Integration from the Ground Up: Five Organizing Constructs that Shape Integrated Practices
Deborah J. Cohen, Bijal A. Balasubramanian, Melinda Davis, Jennifer Hall, Rose Gunn, Kurt C. Stange, Larry A. Green, William L. Miller, Benjamin F. Crabtree, Mary Jane England, Khaya Clark, Benjamin F. Miller
The Journal of the American Board of Family Medicine Sep 2015, 28 (Supplement 1) S7-S20; DOI: 10.3122/jabfm.2015.S1.150050
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