Medical Management of Vulnerable & Underserved Patients: Principles, Practice, Population

Talmadge E. King, Jr. MD Constance B. Wofsy Distinguished Professor; Chief, Medical Services, San Francisco General Hospital; Professor and Vice Chairman, Department of Medicine, UCSF Margaret Wheeler, MD Assistant Clinical Professor of Medicine, Department of Medicine, UCSF Alicia Fernandez, MD Assistant Clinical Professor of Medicine, Department of Medicine, UCSF Dean Schillinger, MD Assistant Clinical Professor of Medicine, Department of Medicine, UCSF Any Bindman, MD Professor of Medicine, Health Policy, Epidemiology, & Biostatistics, UCSF Kevin Grumbach, MD Associate Professor Department of Family & Community Medicine Institute for Health Policy Studies University of California, San Francisco Clinical Faculty San Francisco General Hospital

Section I: PRINCIPLES Chapter 1:Vulnerable Populations and Health Disparities: An Overview
Kevin Grumbach, MD, Paula Braveman, MD, MPH, Nancy Adler, PhD, and Andrew B. Bindman, MDChapter 2: Health Care Disparities: An Overview
Andrew B. Bindman, MD, Kevin Grumbach, MD, and Talmadge E. King Jr., MD

Chapter 3: Financing and Organization of Healthcare for Vulnerable Populations
Virginia W. Huang, MPH, and Christopher B. Forrest, MD, PhD

Chapter 4: Legal Issues in the Care of Underserved Populations
Sara Rosenbaum, JD, and Sara E. Wilensky, JD, MPP

Chapter 5: Principles in the Ethical Care of Underserved Patients
Bernard Lo, MD



Section II:PRACTICE

Chapter 6: Creating a Context for Effective Intervention in the Clinical Care of Vulnerable Patients
Dean Schillinger, MD, Teresa J. Villela, MD, and George William Saba, PhDChapter 7: Promoting Behavior Change
Daniel S. Lessler, MD, MHA, and Christopher Dunn, PhD

Chapter 8: Assessing and Promoting Medical Adherence
Kirsten Bibbins-Domingo, PhD, MD, and M. Robin DiMatteo, PhD

Chapter 9: Navigating Cross-Cultural Communication
JudyAnn Bigby, MD

Chapter 10:Improving the Effectiveness of Patient Education: A Focus on Limited Health Literacy
Michael K. Paasche-Orlow, MD, MA, MPH, and Ruth M. Parker MD

Chapter 11: The Home Visit/Mobile Outreach
Dan Wlodarczyk, MD, and Margaret B. Wheeler, MD

Chapter 12: Group Medical Visits for Underserved PopulationsHali Hammer, MD

Chapter 13: Applying Interactive Health Technologies for Vulnerable Populations
John D. Piette, PhD, and Dean Schillinger, MD

Chapter 14: Applying Principles and Practice of Quality Improvement to Better Care for the Underserved
Gordon D. Schiff, MD, and Seijeoung Kim, RN, PhD

Chapter 15: Case Management/Multidisciplinary Care Models
Michelle Schneidermann, MD, and Alicia Fernandez, MD

Chapter 16: Health and the Community
Naomi Wortis, MD, Ellen Beck, MD, and Joanne Donsky, MSW



Section III: POPULATIONSChapter 17: Underserved Children: Preventing Chronic Illness and Promoting Health
Patricia Barreto, MD, MPH, Victor H. Perez, MD, MPH, and Neal Halfon, MD, MPHChapter 18: Adolescence and its Vulnerabilities
William B. Shore, MD, FAAFP, Margaret A. Scott, RN, MSN, FNP, and Ellen M. Scarr, RNC, MS, FNP, WHNP

Chapter 19: The Family as the Context for Care
George William Saba, PhD, and Teresa J. Villela, MD

Chapter 20: The Hidden Poor: Care of the Elderly
Helen Chen, MD, and C. Seth Landefeld, MD

Chapter 21: Work, Living Environment, and Health
Janet Victoria Diaz, MD, and John R. Balmes, MD

Chapter 22: Care of the Dying Patient
Lavera M. Crawley, MD, MPH

Chapter 23: Clinical Care for Persons with a History of Incarceration
Emily A. Wang, MD, Jacqueline P. Tulsky, MD, and Mary C. White, RN, MPH, PhD

Chapter 24: Care of the Homeless Patient
Margot Kushel, MD, and Sharad Jain, MD

Chapter 25: Immigrant Health Issues
Susana Morales, MD

Chapter 26: Providing Care to Patients Who Speak Limited English
Alice Hm Chen, MD, MPH, and Elizabeth A. Jacobs, MD, MPP

Chapter 27: Sexuality as Vulnerability: The Care of Lesbian and Gay Patients
Anne Rosenthal, MD, and Allison Diamant, MD, MSHS

Chapter 28: The Medical Treatment of Patients with Psychiatric Illness
Douglas R. Price-Hanson, MD

Chapter 29: Women's Health: Reproduction and Beyond in Poor Women
Elizabeth Harleman, MD, and Jody Steinauer, MD, MAS

Chapter 30: Intimate Partner Violence
Leigh Kimberg, MD

Chapter 31: Obesity as a Clinical and Social Problem
Ann Smith Barnes, MD, Marisa Rogers, MD, MPH, and Cam-Tu Tran, MD, MS

Chapter 32: Chronic Pain Management in Vulnerable Populations
Michael B. Potter, MD, Yeva M. Johnson, MD, and Barry D. Zevin, MD

Chapter 33: Principles of Caring for Alcohol and Drug Users
Alexander Y. Walley, MD, and F. Joseph Roll, MD

Chapter 34: Tobacco Use
Clemens Hong, MD, MPH, Suzanne Harris, RN, Paul G. Brunetta, MD, and Neal Benowitz, MD

Chapter 35: Dental Care: The Forgotten Need
Matthew Nealon, DDS, and Francisco Ramos-Gomez, DDS, MS, MPH

Chapter 36: Chronic Disease
Margaret B. Wheeler, MD, Teresa J. Villela, MD, and Thomas S. Bodenheimer, MD

Chapter 37: Disability and Patients with Disabilities
Margot Kushel, MD, and Lisa I. Iezzoni, MD, MSc

Chapter 38: HIV/AIDS: Impact on Vulnerable Populations
Meg D. Newman, MD, and Margaret B. Wheeler, MD

Chapter 39: Care of Ill Socially Complicated Patients in the Hospital
Jeffrey M. Critchfield, MD, and Mark V. Williams, MD, FACP

Chapter 40: Caring for Oneself While Caring for OthersLee Lipsenthal, MD

Chapter 41: Advocacy
Thomas P. O'Toole, MD