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26Nov

The Medical Home: The Bottom-up Problem

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Sunday, September 21, 2008

There is no consensus definition of the term “patient-centered medical home…in 2007 the AAFP, the AAP, the American College of Physicians, and American Osteopathic Association issued principles defining their vision of a patient-centered medical home. The core features include a physician-directed medical practice; a personal physician for every patient; the capacity to coordinate high-quality accessible care, and payments that recognize a medical home’s value for patients.

John K. Iglehart, National Correspondent for New England Journal of Medicine, September 18, New England Journal of Medicine, pages 1200 to 1201

America is an overwhelming bottom-up society.

John Naisbitt, author of Mindset! and Megatrends, in Mindset!, Collins, Imprint of Harper-Collins Publishers, 2006

When the New England Journal of Medicine publishes three articles in one issue on Medical Homes and related physician payment reforms, you know you’re witnessing a top-down medical trend, in this case articulated by a professor of health economics and policy at Harvard; the Journal’s national correspondent…

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Categories: health reform

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