Progress of Ontario's Family Health Team Model: A Patient-Centered Medical Home
Progress of Ontario's Family Health Team Model: A Patient-Centered Medical Home
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DOI：
10.1370/afm.1228
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发表时间：
2011-03-01
影响因子：
4.4
通讯作者：
Wilson, Lynn
中科院分区：
文献类型：
--
作者：
Rosser, Walter W.;Colwill, Jack M.;Wilson, Lynn
安大略的家庭健康小组（FHT）模式，在2005年实施，可能是北美最大的例子，以病人为中心的医疗之家。该模式以多学科团队和创新的基于激励的供资系统为基础，主要是从按服务收费的初级保健实践中发展起来的。近200万安大略人得到170个家庭保健站的服务。初步观察表明，患者的满意度较高，家庭医生的收入较高，满意度较高，更多的医学生选择家庭医学职业的趋势。大众的需求导致了200辆FHT的扩张。我们描述了这个多学科模式的发展，实施，报销计划和现状，将其与以病人为中心的医疗之家的原则。我们还确定了它的潜力，以提供初级保健的许多方面的理解。
Ontario's Family Health Team (FHT) model, implemented in 2005, may be North America's largest example of a patient-centered medical home. The model, based on multidisciplinary teams and an innovative incentive-based funding system, has been developed primarily from fee-for-service primary care practices. Nearly 2 million Ontarians are served by 170 FHTs. Preliminary observations suggest high satisfaction among patients, higher income and more gratification for family physicians, and trends for more medical students to select careers in family medicine. Popular demand is resulting in expansion to 200 FHTs. We describe the development, implementation, reimbursement plan, and current status of this multidisciplinary model, relating it to the principles of the patient-centered medical home. We also identify its potential to provide an understanding of many aspects of primary care.