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Practice redesign and the patient-centered medical home: history, promises, and challenges.
MedLine Citation:
PMID:  20439860     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Medical practice redesign refers to the intentional efforts to improve practice processes and outcomes. Efforts to redesign office-based medical care go back some forty years. We divide the history of practice redesign into three overlapping phases: basic investigation, model development, and dissemination. The "medical home" movement in primary care has accelerated this dissemination phase. The acceleration and scaling up of efforts in practice redesign that have resulted from interest in the medical home present substantial opportunities and challenges for the medical profession and the U.S. health care system. We review the history and extract lessons to inform today's medical practice redesign efforts.
Authors:
Charles M Kilo; John H Wasson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health affairs (Project Hope)     Volume:  29     ISSN:  1544-5208     ISO Abbreviation:  Health Aff (Millwood)     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303128     Medline TA:  Health Aff (Millwood)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  773-8     Citation Subset:  IM    
Affiliation:
Oregon Health and Science University, Portland, OR, USA. kilo@ohsu.edu
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