The Primary Care Medical Home: Whose Home is It? Reaction to the Paper by Karen Davis, PhD, and Kristof Stremikis, MPP

摘要

In their article tided "Family Medicine: Preparing for a High-Performance Health Care System," Karen Davis and Kristof Stremikis present an exciting and affirming vision for the future of primary care in this country. Thanks to the wide acceptance of the concept of the medical home among policymakers, health systems, and now some payers, primary care is finally on the map in a serious way. Although health care reform discussions in Washington, D.C., still mainly focus on issues of insurance coverage, there is an increasing emphasis on the important role primary care must play if the system is to deliver on any measures of quality, cost, and access. There has been excellent progress in various parts of the country in moving toward care that has some or all of the 7 attributes of ideal primary care: 1. superb access to care; 2. patient engagement in care; 3. clinical information systems; 4. care coordination; 5. integrated, comprehensive care; 6. ongoing, routine patient feedback; and 7. publicly available information about practices.