From Concierge Medicine to Patient-Centered Medical Homes: International Lessons & the Search for a Better Way to Deliver Primary Health Care in the US
From Concierge Medicine to Patient-Centered Medical Homes: International Lessons & the Search for a Better Way to Deliver Primary Health Care in the US
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DOI：
10.1177/009885880903500404
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发表时间：
2009-01-01
影响因子：
0.6
通讯作者：
Majette, Gwendolyn Roberts
中科院分区：
文献类型：
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作者：
Majette, Gwendolyn Roberts
初级保健是美国卫生保健系统的关键。它对于提供高质量的护理至关重要；包括实现健康结果的能力，确保患者满意，并促进有效的资源使用。初级保健还强调“促进健康、预防疾病和照顾慢性病患者”。为了改善初级保健的提供，医生们引入了两种商业模式：礼宾医疗(“CM”)和以患者为中心的医疗之家(“PCMH”)。这两种模式都提供个性化、全面的预防保健服务。CM是一种私人医疗实践，医生向患者收取年费才能成为实践中的患者。作为交换，医生限制患者的数量，以提供更个性化的服务和便利设施，例如：通过电子邮件或手机直接访问、当天或次日预约、更长时间、更个性化的预约、上门服务，以及医生陪同专家。
Primary care is crucial to the United States health care system. It is essential to the provision of high quality care; including the ability to reach health outcomes, ensure patient satisfaction, and facilitate efficient resource use. Primary care also places strong “emphasis on health promotion, disease prevention, and care of the chronically ill.”Physicians have introduced two business models in their attempts to improve the delivery of primary care: Concierge Medicine (“CM”) and the Patient Centered Medical Home (“PCMH”). Both models provide personalized, comprehensive preventive care services.CM is a private medical practice in which the physician charges patients an annual fee to be a patient in the practice. In exchange, the physician limits the number of patients in order to offer more personalized services and amenities such as: direct access through email or cell phone, same day or next day appointments, longer, more personalized appointments, house calls, and physician accompaniment to a specialist.