Document Detail


A guide to the medical home as a practice-level intervention.
MedLine Citation:
PMID:  20088633     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The medical home (also known as patient-centered medical home or advanced medical home) is a composite policy construct representing a set of interventions intended to revitalize primary care practices and improve patient care. As an idealized vision, the medical home has gained the support of stakeholders including employers, health professional societies, health plans, not-for-profit entities, and government agencies. Expectations of the medical home include improvements in healthcare quality, patient experience, provider work-life satisfaction, costs of care, and increased recruitment of medical students into primary care careers. However, multiple definitions of the medical home exist, and the degree to which some often-cited examples of "medical home" successes match these definitions is unclear. Scant evidence currently supports the effectiveness of practice-level medical home interventions for improving quality and reducing costs, but demonstration projects are only recently under way. Carefully specifying the exact components of "medical home" interventions--and interpreting their results in the context of these specifications--will help build a coherent body of evidence to guide the revitalization of primary care.
Authors:
Mark W Friedberg; Deborah J Lai; Peter S Hussey; Eric C Schneider
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of managed care     Volume:  15     ISSN:  1936-2692     ISO Abbreviation:  Am J Manag Care     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-03-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613960     Medline TA:  Am J Manag Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S291-9     Citation Subset:  H    
Affiliation:
RAND, 1776 Main St, PO Box 2138, Santa Monica, CA 90407-2138, USA. mfriedbe@rand.org
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MeSH Terms
Descriptor/Qualifier:
Continuity of Patient Care / organization & administration*,  trends
Humans
Outcome Assessment (Health Care) / methods
Patient-Centered Care / organization & administration*,  standards,  trends
Quality Assurance, Health Care / methods,  standards*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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