Stanford School of Medicine, Stanford, USA.
J Gen Intern Med. 2013 Jan;28(1):141-6. doi: 10.1007/s11606-012-2170-x. Epub 2012 Jul 25.
The patient-centered medical home (PCMH), with its focus on patient-centered care, holds promise as a way to reinvigorate the primary care of patients and as a necessary component of health care reform. While its tenets have been the subject of review, the ethical dimensions of the PCMH have not been fully explored. Consideration of the ethical foundations for the core principles of the PCMH can and should be part of the debate concerning its merits. The PCMH can align with the principles of medical ethics and potentially strengthen the patient-physician relationship and aspects of health care that patients value. Patient choice and these ethical considerations are central and at least as important as the economic and practical arguments in support of the PCMH, if not more so. Further, the ethical principles that support key concepts of the PCMH have implications for the design and implementation of the PCMH. This paper explores the PCMH in light of core principles of ethics and professionalism, with an emphasis both on how the concept of the PCMH may reinforce core ethical principles of medical practice and on further implications of these principles.
以患者为中心的医疗之家（PCMH），以患者为中心的护理为重点，有望重振患者的初级护理，并成为医疗改革的必要组成部分。尽管其原则已经受到审查，但 PCMH 的伦理维度尚未得到充分探讨。考虑 PCMH 的核心原则的伦理基础可以而且应该成为其优点辩论的一部分。PCMH 可以符合医学伦理原则，并有可能加强医患关系以及患者重视的医疗保健方面。患者选择和这些伦理考虑是核心问题，至少与支持 PCMH 的经济和实际论点一样重要，如果不是更重要的话。此外，支持 PCMH 关键概念的伦理原则对 PCMH 的设计和实施具有影响。本文从伦理学和专业精神的核心原则的角度探讨了 PCMH，重点是 PCMH 的概念如何加强医学实践的核心伦理原则，以及这些原则的进一步影响。
