Hoch Daniel B, Homonoff Mark C, Moawad Heidi, Cohen Bruce H, Esper Gregory J, Becker Amanda, Busis Neil A
Massachusetts General Hospital (DBH), Boston; Beth Israel Hospital and Mt. Sinai School of Medicine (MCH), New York, NY; Children's Hospital Medical Center of Akron (HM, BHC), Akron, OH; Emory University (GJE), Atlanta, GA; American Academy of Neurology (AB), Minneapolis, MN; and UPMC Shadyside (NAB), Pittsburgh, PA.
Neurol Clin Pract. 2013 Apr;3(2):134-140. doi: 10.1212/CPJ.0b013e31828d9fa6.
Recent health policy initiatives designed to improve care coordination have stimulated the resurgence of the patient-centered medical home (PCMH) model. The details of how primary and specialty care are coordinated within the PCMH model are of interest to specialists. A good medical home "neighbor" must adhere to principles that complement the PCMH team-based approach and personal relationship to the patient. One issue for neurologists considering participation in this model is whether they will function as the principal physician for some patients, only in the role of a consultant, or take some new role. It is too early to suggest any one payment method as superior, or establish the appropriate capitation fees for practicing neurologists. Recommendations are provided for neurologists considering participation in a PCMH neighborhood.
近期旨在改善医疗协调的卫生政策举措激发了以患者为中心的医疗之家（PCMH）模式的复兴。专科医生对PCMH模式下初级保健和专科保健如何协调的细节很感兴趣。一个优秀的医疗之家“邻居”必须遵循一些原则，这些原则要与PCMH基于团队的方法以及与患者的个人关系相辅相成。对于考虑参与该模式的神经科医生来说，一个问题是他们将担任某些患者的主治医生，还是仅扮演顾问角色，或者承担一些新角色。现在就提出任何一种支付方式更优越，或者为执业神经科医生确定合适的人头费还为时过早。为考虑参与PCMH社区的神经科医生提供了建议。
