Driving Quality Gains And Cost Savings Through Adoption Of Medical Homes

作者:Fields Daniel*; Leshen Elizabeth; Patel Kavita
来源:Health Affairs, 2010, 29(5): 819-826.
DOI:10.1377/hlthaff.2010.0009

摘要

The U.S. health care system too often falls short in delivering effective primary care, especially for patients with chronic conditions. One potential solution is the patient-centered medical home, a model that has shown success in individual demonstrations. Evidence from seven of the largest medical home pilots shows that four factors are essential: dedicated care managers; expanded access; performance management tools; and effective incentive payments. Federal policy, including implementation of health insurance reform legislation, should consider how to include these core elements and offer guidance and incentives for executing them effectively.

  • 出版日期2010-6