Texas A&M Health Science Center, School of Rural Public Health, Department of Health Policy & Management, Center for Health Organization Transformation, College Station, TX 77842, USA.
Med Care Res Rev. 2010 Aug;67(4):393-411. doi: 10.1177/1077558710367794. Epub 2010 May 6.
The medical home is a potentially transformative strategy to address issues of access, quality, and efficiency in the delivery of health care in the United States. While numerous organizations support a physician-driven definition, it is by no means the universally accepted definition. Several professional groups, payers, and researchers have offered differing, or nuanced, definitions of medical homes. This lack of consensus has contributed to uncertainty among providers about the medical home. We conducted a systematic review of the literature on the medical home and identified 29 professional, government, and academic sources offering definitions. While consensus appears to exist around a core of selected features, the medical home means different things to different people. The variation in definitions can be partly explained by the obligation of organizations to their members and whether the focus is on the patient or provider. Differences in definitions have implications at both the policy and practice levels.
医疗之家是一种潜在的变革性策略，旨在解决美国医疗保健提供中存在的可及性、质量和效率问题。尽管许多组织都支持以医生为驱动的定义，但这绝不是普遍接受的定义。一些专业团体、支付方和研究人员对医疗之家提出了不同的或细微差别的定义。这种缺乏共识导致提供者对医疗之家感到不确定。我们对医疗之家的文献进行了系统回顾，确定了 29 个专业、政府和学术来源的定义。虽然在一些选定的特征上似乎存在共识，但医疗之家对不同的人来说意味着不同的东西。定义上的差异部分可以解释为组织对其成员的义务，以及关注的是患者还是提供者。定义上的差异在政策和实践层面都有影响。
