作者: Robert J. Reid , Katie Coleman , Eric A. Johnson , Paul A. Fishman , Clarissa Hsu
DOI: 10.1377/HLTHAFF.2010.0158
关键词: Family medicine 、 Managed care 、 Medical home 、 Point of care 、 Patient satisfaction 、 Burnout 、 Total cost 、 Ambulatory care 、 Health care 、 Medicine
摘要: As the patient-centered medical home model emerges as a key vehicle to improve quality of health care and control costs, experience Seattle-based Group Health Cooperative with its pilot takes on added importance. This paper examines effects prototype patients' experiences, quality, burnout clinicians, total costs at twenty-one twenty-four months after implementation. The results show improvements in clinician through two years. Compared other clinics, patients experienced 29 percent fewer emergency visits 6 hospitalizations. We estimate savings $10.3 per patient month into pilot. offer an operational blueprint policy recommendations for adoption settings.