Medical homes: Challenges in translating theory into practice

Emily Carrier, Marc Gourevitch, Nirav R. Shah

Research output: Contribution to journalReview article

Abstract

The concept of the medical home has existed since the 1960s, but has recently become a focus for discussion and innovation in the health care system. The most prominent definitions of the medical home are those presented by the Patient-Centered Primary Care Collaborative, the National Committee for Quality Assurance, and the Commonwealth Fund. These definitions share: adoption of health information technology and decision support systems, modification of clinical practice patterns, and ensuring continuity of care. Each of these components is a complex undertaking, and there is scant evidence to guide assessment of diverse strategies for achieving their integration into a medical home. Without a shared vocabulary and common definitions, policy-makers seeking to encourage the development of medical homes, providers seeking to improve patient care, and payers seeking to develop appropriate systems of reimbursement will face challenges in evaluating and disseminating the medical home model.

Original languageEnglish (US)
Pages (from-to)714-722
Number of pages9
JournalMedical Care
Volume47
Issue number7
DOIs
StatePublished - Jul 2009

Fingerprint

Patient-Centered Care
Translating
Physicians' Practice Patterns
Medical Informatics
Continuity of Patient Care
Vocabulary
Administrative Personnel
Primary Health Care
Patient Care
Delivery of Health Care

Keywords

  • Health reform
  • Medical home
  • Practice redesign

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Medical homes : Challenges in translating theory into practice. / Carrier, Emily; Gourevitch, Marc; Shah, Nirav R.

In: Medical Care, Vol. 47, No. 7, 07.2009, p. 714-722.

Research output: Contribution to journalReview article

Carrier, Emily ; Gourevitch, Marc ; Shah, Nirav R. / Medical homes : Challenges in translating theory into practice. In: Medical Care. 2009 ; Vol. 47, No. 7. pp. 714-722.
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