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Mt Sinai J Med. 2012 Jul-Aug;79(4):433-50. doi: 10.1002/msj.21326.

The patient-centered medical home: history, components, and review of the evidence.

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1
Mount Sinai School of Medicine, New York, NY, USA. jonathan.arend@mountsinai.org

Abstract

The US healthcare system is plagued by unsustainable costs and yields suboptimal outcomes, indicating that new models of healthcare delivery are needed. The patient-centered medical home is one model that is increasingly regarded as a promising strategy for improving healthcare quality, decreasing cost, and enhancing the experience of both patients and providers. Conceptually, the patient-centered medical home may be described as combination of the core attributes of primary care-access, continuity, comprehensiveness, and coordination of care-with new approaches to healthcare delivery, including office practice innovations and reimbursement reform. Implementation efforts are gaining momentum across the country, fueled by both private-payer initiatives as well as supportive public policy. High-quality evidence on the effectiveness of the patient-centered medical home is limited, but the data suggest that, under some circumstances, patient-centered medical home interventions may lead to improved outcomes and generate moderate cost savings. Although the patient-centered medical home enjoys broad support by multiple stakeholders, significant challenges to widespread adoption of the model remain.

PMID:
22786733
DOI:
10.1002/msj.21326
[Indexed for MEDLINE]
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