A House Is Not A Home: Keeping Patients At The Center Of Practice Redesign
A House Is Not A Home: Keeping Patients At The Center Of Practice Redesign
复制标题
DOI：
10.1377/hlthaff.27.5.1219
复制
发表时间：
2008-09-01
期刊：
影响因子：
9.7
通讯作者：
Williams, Aimee F.
中科院分区：
文献类型：
--
作者：
Berenson, Robert A.;Hammons, Terry;Williams, Aimee F.
推广以患者为中心的医疗之家，作为初级保健的强化模式。基于文献回顾和对执业医生的采访，我们发现疗养院的倡导者和医生对疗养院应该实现的目标有一些不同的期望，尽管不一定是不一致的-从更好地响应所有患者的需求到更多地关注慢性病患者的护理管理。随着医疗之家概念的进一步发展，重要的是不要过度强调以患者为中心的护理方式的重新设计，这是优秀初级保健的标志。[卫生事务27，第5期(2008年)：1219-1230；10.1377/hlthaff.27.5.1219]
The "patient-centered medical home" has been promoted as an enhanced model of primary care. Based on a literature review and interviews with practicing physicians, we find that medical home advocates and physicians have somewhat different, although not necessarily inconsistent, expectations of what the medical home should accomplish-from greater responsiveness to the needs of all patients to increased focus on care management for patients with chronic conditions. As the medical home concept is further developed, it will be important to not overemphasize redesign of practices at the expense of patient-centered care, which is the hallmark of excellent primary care. [Health Affairs 27, no. 5 (2008): 1219-1230; 10.1377/hlthaff.27.5.1219]