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The hospital … must become part of a primary care network of community-oriented delivery systems focused on chronic disease management. In this model, the social worker treats the patient throughout the continuum of care. Therefore, dynamic training that addresses the changing health care environment will be needed. (Berkman, 1996, p. 541) The rapidly changing organization and financing of health care delivery in the United States compels social work to specify the elements of its health-related practice and to convincingly document its cost-effectiveness. (Ell, 1996, p. 583)
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