Vanderbilt Medical School, Nashville, TN 37232, USA.
Child Adolesc Psychiatr Clin N Am. 2010 Apr;19(2):183-97, vii. doi: 10.1016/j.chc.2010.02.006.
The medical home concept has been in existence since the late 1960s and has recently been significantly broadened to encompass comprehensive primary care for all patient populations throughout the lifespan. This article provides (1) a review of the foundations and evolution of the medical home concept; (2) an analysis of patient/family, provider, and systemic challenges to developing an effective pediatric medical home particularly in relation to children's mental health needs; and (3) a discussion of future directions for its further adoption and successful implementation.
医疗之家的概念自 20 世纪 60 年代末就已存在，最近又得到了显著扩展，涵盖了所有患者群体在整个生命周期的综合初级保健。本文提供了（1）对医疗之家概念的基础和演变的回顾；（2）对患者/家庭、提供者和系统方面在发展有效的儿科医疗之家方面的挑战的分析，特别是与儿童心理健康需求有关的方面；以及（3）对其进一步采用和成功实施的未来方向的讨论。
