Family and Community Medicine, University of California (UC), San Francisco, USA.
Health Aff (Millwood). 2008 Sep-Oct;27(5):1246-58. doi: 10.1377/hlthaff.27.5.1246.
The patient-centered medical home is taking center stage in discussions of primary care innovation as a new delivery model that provides comprehensive, coordinated care across the lifespan. Although the medical home is widely discussed by policymakers, payers, and other stakeholders, the extent to which physician practices have the infrastructure in place to function as medical homes is not known. Using data from the 2006-07 National Study of Physician Organizations, we examine the extent of adoption of medical home infrastructure components among large primary care and multispecialty medical groups and their association with medical group size and ownership.
以患者为中心的医疗之家正在成为初级保健创新讨论的焦点，它是一种新的提供终身综合协调护理的交付模式。尽管医疗之家已被政策制定者、支付方和其他利益相关者广泛讨论，但医生实践在多大程度上具备作为医疗之家运作的基础设施尚不清楚。我们利用 2006-07 年全国医生组织研究的数据，考察了大型初级保健和多专科医疗集团采用医疗之家基础设施组件的程度及其与医疗集团规模和所有权的关系。
