A House Is Not A Home: Keeping Patients At The Center Of Practice Redesign

被引:174
作者
Berenson, Robert A.
Hammons, Terry [1 ]
Gans, David N.
Zuckerman, Stephen [2 ]
Merrell, Katie [3 ]
Underwood, William S. [4 ]
Williams, Aimee F. [2 ]
机构
[1] MGMA, Res Ctr, Englewood, CO USA
[2] Urban Inst, Ctr Hlth Policy, Washington, DC 20037 USA
[3] Social & Sci Syst, Silver Spring, MD USA
[4] Amer Coll Physicians, Ctr Practice Innovat, Washington, DC USA
关键词
D O I
10.1377/hlthaff.27.5.1219
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The "patient-centered medical home" has been promoted as an enhanced model of primary care. Based on a literature review and interviews with practicing physicians, we find that medical home advocates and physicians have somewhat different, although not necessarily inconsistent, expectations of what the medical home should accomplish-from greater responsiveness to the needs of all patients to increased focus on care management for patients with chronic conditions. As the medical home concept is further developed, it will be important to not overemphasize redesign of practices at the expense of patient-centered care, which is the hallmark of excellent primary care. [Health Affairs 27, no. 5 (2008): 1219-1230; 10.1377/hlthaff.27.5.1219]
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收藏
页码:1219 / 1230
页数:12
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