Regueiro Miguel D, McAnallen Sandra E, Greer Julia B, Perkins Stephen E, Ramalingam S, Szigethy Eva
*Total Care-IBD, Inflammatory Bowel Disease Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;†Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania;‡Specialty Medical Homes, UPMC Health Plan, Pittsburgh, Pennsylvania;§Clinical Affairs and Quality Performance, UPMC Health Plan, Pittsburgh, Pennsylvania;¶Medical Affairs, UPMC Health Plan, Pittsburgh, Pennsylvania;**Department of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;††Medical Management, UPMC Health Plan, Pittsburgh, Pennsylvania; and‡‡Total Care-IBD, Visceral Inflammation and Pain Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Inflamm Bowel Dis. 2016 Aug;22(8):1971-80. doi: 10.1097/MIB.0000000000000819.
New models of health care have emerged over the past decade. Accountable care organizations and patient-centered medical homes are designed to improve the patient experience, enhance health care quality, and decrease cost. These models have been developed in the primary care domain and have yet to be tested in specialty care. Certain chronic diseases require principal care by a specialist or health care team. The specialty medical home would provide patient-centered care for specific populations of patients whose health care derives from a single chronic disease. This article defines the parameters for a specialty medical home and provides a specific payer-provider experience for the comprehensive care of an inflammatory bowel disease population.
在过去十年中出现了新的医疗保健模式。 accountable care organizations和以患者为中心的医疗之家旨在改善患者体验、提高医疗保健质量并降低成本。 这些模式是在初级保健领域发展起来的，尚未在专科护理中进行测试。 某些慢性病需要专科医生或医疗团队的主要护理。 专科医疗之家将为特定患者群体提供以患者为中心的护理，这些患者的医疗保健源于单一慢性病。 本文定义了专科医疗之家的参数，并为炎症性肠病患者群体的综合护理提供了特定的付款人-提供者经验。
