15 d’abril 2014

The home and the neighborhood

Transforming Specialty Practice — The Patient-Centered Medical Neighborhood

The coordination of health services requires intense relationships between primary and specialized care. Though this is obvious, sometimes there is a need to insist on it. And this is precisely what an article at NEJM does. It explains the components to assess the Patient centered medical home and the patient centered specialty practice.
This is a US style organizational design, although some european private organizations should keep an eye on such developments. The current organization of private practice is too far from the requirements of a modern practice of medicine and to fulfill patient expectations. The pressures for organizational change unfortunately will not arise from inside, the confort zone always plays its role.

PS. Video on low value care and how to avoid it, at NEJM.