Article Figures & Data
Tables
Advocacy for the patient in the system Appropriate interventions for episodic illness and injuries Diagnosis and initial/ongoing treatment of chronic disease Primary mental healthcare including psychosocial counseling Primary reproductive care Care of the majority of illness (in conjunction with consultation, if required) Supportive care in hospital, home or community care facilities Health assessment Clinical evidence-based illness prevention and health promotion Education and support for self-care Support for the terminally ill Arrangements for response to urgent problems 24 hours a day, 7 days a week Service coordination and referral Coordination and access to rehabilitation -
From the Provincial Coordinating Committee on Community and Academic Health Science Center Relations (PCCAR).6
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Personal physician — each patient has an ongoing relationship with a personal physician trained to provide first contact, continuous and comprehensive care
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Physician-directed medical practice — the personal physician leads a team of individuals at the practice level who collectively take responsibility for the ongoing care of patients
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Whole-person orientation — the personal physician is responsible for providing for all the patient’s health care needs or taking responsibility for appropriately arranging care with other qualified professionals. This includes care for all stages of life; acute care; chronic care; preventive services; and end of life care…
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Care is coordinated and/or integrated across all elements of the complex health care system and the patient’s community
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Quality and safety are hallmarks of the medical home…
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Enhanced access to care is available through systems such as open scheduling, expanded hours and new options for communication …
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Payment appropriately recognizes the added value provided to patients who have a patient-centered medical home…
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From the Patient-Centered Primary Care Collaborative.2
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Additional Files
The Article in Brief
Progress of Ontario's Family Health Team Model: A Patient-Centered Medical Home
Walter W. Rosser , and colleagues
Background In this special report, Canadian researchers detail the progress of Ontario�s Family Health Team (FHT) model, which serves nearly 2 million Ontarians, making it North America�s largest example of a patient-centered medical home.
What This Study Found Implemented in 2005, the FHT model is based on multidisciplinary teams and an innovative incentive-based funding system. Preliminary observations suggest high satisfaction among patients, higher income and more gratification for primary care physicians, and trends toward more medical students selecting careers in family medicine. Popular demand is resulting in expansion from 170 FHTs today to 200 FHTs in the near future.
Implications
- The authors suggest that the FHT model should be part of the solution for health system reform in both Canada and the United States.
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