Engaging Patients and Families in the Medical Home

摘要

In its landmark 2001 report Crossing the Quality Chasm, the Institute of Medicine (IOM) identified patient-centeredness as one of six aims for the health care system. As the concept of a patient-centered medical home (PCMH) has gained increasing attention as a means of redesigning primary care, several commentaries have noted the need for strengthening and expanding opportunities for patient engagement in current medical home demonstrations. The purpose of this paper is to offer policymakers and researchers insights into opportunities to engage patients and families in the medical home. We present a framework for conceptualizing opportunities for engagement, briefly review the evidence base for these activities, describe examples of existing efforts, suggest key lessons for future efforts, and discuss implications for policy and research.