Butcher Jana S, Wolraich Mark L, Gillaspy Stephen R, Martin Vyonda G, Wild Robert C
J Okla State Med Assoc. 2014 Dec;107(12):632-8.
Primary care provided in a Medical Home (MH) can improve outcomes for Children with Special Health Care Needs. It is important for residents to experience MH in their training. The Oklahoma Family Support 360 project, a five-year collaborative initiative, established a MH in a pediatric primary care resident continuity clinic at the University of Oklahoma Health Sciences Center. A study of the effects of enhancement of the seven key MH attributes showed a significant decrease in Emergency Service use, a significant increase in Dental Service use, high satisfaction with MH activities, and high ratings for a positive impact on quality of life for the child and family. The project demonstrated that a MH could be established in a pediatric academic program, improved health service use, and had a high level of satisfaction from participating families. This model provides a good example of the MH qualities for residents in training.
医疗之家（MH）提供的初级保健可以改善有特殊医疗需求儿童的治疗效果。住院医师在培训中体验医疗之家很重要。俄克拉荷马家庭支持360项目是一项为期五年的合作倡议，在俄克拉荷马大学健康科学中心的儿科初级保健住院医师连续性诊所设立了一个医疗之家。一项关于增强七个关键医疗之家属性效果的研究表明，急诊服务使用量显著减少，牙科服务使用量显著增加，对医疗之家活动满意度高，对儿童和家庭生活质量产生积极影响的评分也很高。该项目表明，可以在儿科学术项目中建立医疗之家，改善医疗服务使用情况，并获得参与家庭的高度满意度。这种模式为培训中的住院医师提供了一个很好的医疗之家品质范例。
