Medical homes: challenges in translating theory into practice.
Medical homes: challenges in translating theory into practice.
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DOI：
10.1097/mlr.0b013e3181a469b0
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发表时间：
2009-07
期刊：
影响因子：
3
通讯作者：
Shah NR
中科院分区：
文献类型：
--
作者：
Carrier E;Gourevitch MN;Shah NR
自20世纪60年代以来，医疗之家的概念就已经存在，但最近才成为医疗保健系统讨论和创新的焦点。医疗之家最著名的定义是由以病人为中心的初级保健合作组织、国家质量保证委员会和联邦基金提出的。这些定义包括：采用卫生信息技术和决策支持系统，修改临床实践模式，以及确保护理的连续性。这些组成部分中的每一个都是一项复杂的工作，并且很少有证据来指导评估将其整合到医疗之家的各种策略。如果没有共同的词汇和共同的定义，寻求鼓励发展医疗之家的决策者，寻求改善病人护理的提供者，以及寻求发展适当的报销系统的付款人将在评估和传播医疗之家模式方面面临挑战。
The concept of the medical home has existed since the 1960s, but has recently become a focus for discussion and innovation in the health care system. The most prominent definitions of the medical home are those presented by the Patient-Centered Primary Care Collaborative, the National Committee for Quality Assurance, and the Commonwealth Fund. These definitions share: adoption of health information technology and decision support systems, modification of clinical practice patterns, and ensuring continuity of care. Each of these components is a complex undertaking, and there is scant evidence to guide assessment of diverse strategies for achieving their integration into a medical home. Without a shared vocabulary and common definitions, policy-makers seeking to encourage the development of medical homes, providers seeking to improve patient care, and payers seeking to develop appropriate systems of reimbursement will face challenges in evaluating and disseminating the medical home model.