The Group Health Medical Home At Year Two: Cost Savings, Higher Patient Satisfaction, And Less Burnout For Providers

被引：451

作者：

Reid, Robert J. ^{[1
]}

Coleman, Katie ^{[1
]}

Johnson, Eric A. ^{[1
]}

Fishman, Paul A. ^{[1
]}

Hsu, Clarissa ^{[1
]}

Soman, Michael P. ^{[2
,3
]}

Trescott, Claire E. ^{[2
]}

Erikson, Michael ^{[4
]}

Larson, Eric B. ^{[1
]}

机构：

[1] Grp Hlth Res Inst, Seattle, WA USA

[2] Grp Hlth Permanente, Seattle, WA USA

[3] Grp Hlth, Seattle, WA USA

[4] Grp Hlth Cooperat Puget Sound, Primary Care Serv, Seattle, WA USA

来源：

HEALTH AFFAIRS | 2010年 / 29卷 / 05期

关键词：

PRIMARY-CARE; DEMONSTRATION PROJECT; CENTERED ACCESS; EXPERIENCE; PHYSICIAN; QUALITY; TRANSFORMATION; REDESIGN;

D O I：

10.1377/hlthaff.2010.0158

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

100404 [儿少卫生与妇幼保健学];

摘要：

As the patient-centered medical home model emerges as a key vehicle to improve the quality of health care and to control costs, the experience of Seattle-based Group Health Cooperative with its medical home pilot takes on added importance. This paper examines the effects of the medical home prototype on patients' experiences, quality, burnout of clinicians, and total costs at twenty-one to twenty-four months after implementation. The results show improvements in patients' experiences, quality, and clinician burnout through two years. Compared to other Group Health clinics, patients in the medical home experienced 29 percent fewer emergency visits and 6 percent fewer hospitalizations. We estimate total savings of $10.3 per patient per month twenty-one months into the pilot. We offer an operational blueprint and policy recommendations for adoption in other health care settings.

引用

页码：835 / 843

页数：9

共 26 条

[1]

[Anonymous], 2007, Joint principles of the patient centered medical home

[2]

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