Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University School of Medicine, 2024 East Monument Street, Baltimore, MD 21205, USA.
Am J Prev Med. 2011 May;40(5 Suppl 2):S225-33. doi: 10.1016/j.amepre.2011.01.003.
The patient-centered medical home (PCMH) is an approach that evolved from the understanding that a well-organized, proactive clinical team working in a tandem with well-informed patients is better able to address the preventive and disease management needs in a guideline-concordant manner. This approach represents a fundamental shift from episodic acute care models and has become an integral part of health reform supported on a federal level. The major aspects of PCMH, especially pertinent to its information infrastructure, have been discussed by an expert panel organized by the Agency for Healthcare Research and Quality at the Informatics for Consumer Health Summit. The goal of this article is to summarize the panel discussions along the four major domains presented at the summit: (1) PCMH as an Evolving Model of Healthcare Delivery; (2) Health Information Technology (HIT) Applications to Support the PCMH; (3) Current HIT Landscape of PCMH: Challenges and Opportunities; and (4) Future HIT Landscape of PCMH: Federal Initiatives on Health Informatics, Legislation, and Standardization.
患者为中心的医疗之家（PCMH）是一种源自这样一种理解的方法，即一个组织良好、积极主动的临床团队与知情的患者并肩工作，能够以符合指南的方式更好地满足预防和疾病管理的需求。这种方法代表了从偶发性急性护理模式的根本转变，并已成为联邦一级支持的医疗改革的一个组成部分。患者为中心的医疗之家的主要方面，特别是与其信息基础设施相关的方面，已经在医疗保健研究和质量机构组织的消费者健康信息峰会的专家组讨论过。本文的目的是总结峰会提出的四大主要领域的小组讨论：（1）作为医疗服务提供模式的不断发展的患者为中心的医疗之家；（2）支持患者为中心的医疗之家的健康信息技术（HIT）应用；（3）当前患者为中心的医疗之家的 HIT 格局：挑战与机遇；以及（4）未来患者为中心的医疗之家的 HIT 格局：卫生信息学、立法和标准化方面的联邦倡议。
