TY - JOUR
T1 - Specialists/subspecialists and the patient-centered medical home
AU - Kirschner, Neil
AU - Barr, Michael S.
N1 - Funding Information:
Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Drs Kirschner and Barr provide frequent presentations on the PCMH as representatives of the American College of Physicians. Dr Barr has received a grant from the Commonwealth Fund to research cost issues related to the PCMH and grants from Pfizer (unrestricted) and the Physician's Foundation for Health Systems Excellence to promote practice improvements.
PY - 2010/1/1
Y1 - 2010/1/1
N2 - This article provides an overview of the Patient-Centered Medical Home (PCMH) care model. It provides a history and definition of the concept, a discussion of its growing acceptance by the health-care community, and a review of current public and public-private demonstration projects testing the concept. The role of specialty/subspecialty practices within the PCMH model is described, with a focus on the potential for these practices to serve as a PCMH for a subgroup of patients or, alternatively, as a PCMH "neighbor" that interfaces effectively with PCMH practices. The authors conclude that the model for effective connections between the PCMH and specialty/ subspecialty practices requires further development, including the cross-specialty establishment of guidelines and processes regarding referrals, information flow, transitions in care, and accountability. The efforts of the American College of Physicians' Council of Subspecialty Societies PCMH Workgroup to further develop this model are described. The authors encourage involvement from all interested stakeholders to ensure that the issues and challenges identified are addressed through collaboration and consensus based on available evidence.
AB - This article provides an overview of the Patient-Centered Medical Home (PCMH) care model. It provides a history and definition of the concept, a discussion of its growing acceptance by the health-care community, and a review of current public and public-private demonstration projects testing the concept. The role of specialty/subspecialty practices within the PCMH model is described, with a focus on the potential for these practices to serve as a PCMH for a subgroup of patients or, alternatively, as a PCMH "neighbor" that interfaces effectively with PCMH practices. The authors conclude that the model for effective connections between the PCMH and specialty/ subspecialty practices requires further development, including the cross-specialty establishment of guidelines and processes regarding referrals, information flow, transitions in care, and accountability. The efforts of the American College of Physicians' Council of Subspecialty Societies PCMH Workgroup to further develop this model are described. The authors encourage involvement from all interested stakeholders to ensure that the issues and challenges identified are addressed through collaboration and consensus based on available evidence.
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U2 - 10.1378/chest.09-0060
DO - 10.1378/chest.09-0060
M3 - Article
C2 - 19505988
AN - SCOPUS:74949100456
SN - 0012-3692
VL - 137
SP - 200
EP - 204
JO - CHEST
JF - CHEST
IS - 1
ER -