Kosinski Lawrence R, Brill Joel, Regueiro Miguel
Illinois Gastroenterology Group, Elgin, IL, USA.
SonarMD, LLC, Elgin, IL, USA.
Curr Gastroenterol Rep. 2017 May;19(5):20. doi: 10.1007/s11894-017-0561-1.
The transformation from fee for service to fee for value requires structural changes to the way gastroenterologists manage patients with inflammatory bowel disease (IBD). A team-based approach using technology to engage patients is necessary for success. The Patient-Centered Medical Home (PCMH) represents a unique model that brings together these essential features. This paper describes how the PCMH model has been successfully applied to the management of patients with IBD.
A review of the literature and three examples of IBD PCMH initiatives are presented in this document: they demonstrate how outcomes can be improved under the PCMH model. Population health and value-based payments will mold and shape how we can position our GI practices. The specialty medical home is an ideal way to begin this transition.
从按服务收费向按价值收费的转变要求胃肠病学家管理炎症性肠病(IBD)患者的方式进行结构性改变。采用技术让患者参与的团队协作方法是成功的必要条件。以患者为中心的医疗之家(PCMH)代表了一种融合这些关键特征的独特模式。本文描述了PCMH模式如何成功应用于IBD患者的管理。
本文档对文献进行了综述,并列举了三项IBD的PCMH倡议实例:它们展示了在PCMH模式下如何改善治疗结果。人群健康和基于价值的支付将塑造我们开展胃肠病诊疗业务的方式。专科医疗之家是开启这一转变的理想途径。