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This is a great overview and meaningful discussion of patient-centered care. My personal experience in three different family practices have proven frustrating in the implementation process. The meaning and individual responsibilities of the components of the coordination of care is poorly understood by physicians and by patients. Most importantly by patients. After being introduced to the concept by physicians who say that they have a patient centered practice and their role is to coordinate care, the reality is that the patient becomes responsible for coordinating care of specialists even ones to whom the patient has been directed. This means gathering reports, having lab and image reports transmitted, and interpreting the reports to the PCP. The physicians rarely communicate with each other in almost any way, even those on the same electronic medical record system. I would like to see the next paper as an implementation methodology with clear roles responsibilities and expectations of all who are in the coordinated care system.