The "medical neighborhood": integrating primary and specialty care for ambulatory patients.
@article{Greenberg2014TheN, title={The "medical neighborhood": integrating primary and specialty care for ambulatory patients.}, author={Jeffrey O. Greenberg and Michael Lawrence Barnett and Melissa Spinks and Jessica C. Dudley and Joseph P. Frolkis}, journal={JAMA internal medicine}, year={2014}, volume={174 3}, pages={ 454-7 } }
As health care organizations create larger networks, better coordination of primary and specialty care is paramount. Attention has focused on strengthening primary care by creating patient-centered medical homes. The "medical neighborhood" provides a framework for structured, reciprocal relationships that integrate specialty care and extend the principles of the medical home to all practicing physicians. The foundation of the medical neighborhood is the collaborative care agreement, which…
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References
SHOWING 1-10 OF 25 REFERENCES
Primary Care Physicians' Links to Other Physicians Through Medicare Patients: The Scope of Care Coordination
- Medicine, Political ScienceAnnals of Internal Medicine
- 2009
It is estimated that, for every 100 Medicare patients a physician treats, the physician potentially must interact with 99 other physicians in 53 different practices, suggesting that effective coordination in fee-for-service Medicare, in which effective coordination could greatly improve outcomes, is currently very fragmented.
The Patient-Centered Medical Home Neighbor: A Subspecialty Physician's View
- MedicineAnnals of Internal Medicine
- 2011
This paper demonstrates that the patient-centered medical home model is supported by numerous specialties and subspecialties, recognizing the importance of building a strong medical neighborhood, and providing a framework that will foster improvements in care at the interface of PCMHs and PCMH neighbors (PCMH-Ns).
Primary Care Physician Specialty Referral Decision Making: Patient, Physician, and Health Care System Determinants
- Medicine, Political ScienceMedical decision making : an international journal of the Society for Medical Decision Making
- 2006
The risk of a referral being made for discretionary reasons was increased by capitated primary care payment, internal medicine specialty of the PCP, high concentration of specialists in the community, and higher levels of managed care in the practice.
[Patient-Centered Medical Home: Suggestions for the Health Care Delivery System Reform in Japan; The Patient-Centered Medical Home Neighbor. The Interface of the Patient-Centered Medical Home with Specialty/Subspecialty Practices].
- MedicineNihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine
- 2015
This policy paper, informed through the deliberations of the Workgroup over the past 3 years and through feedback from the various societies represented in the CSS, addresses the interface between the PCMH and specialty/subspecialty practices.
Preconsultation exchange for ambulatory hepatology consultations.
- Medicine, Political ScienceThe American journal of medicine
- 2013
Public Views on U.S. Health System Organization: A Call for New Directions
- Medicine, Political Science
- 2008
There was broad agreement among survey respondents that wider use of health information systems and greater care coordination could improve patient care and it is very important for the 2008 presidential candidates to seek reforms to address health care quality, access, and costs.
Evaluating Electronic Referrals for Specialty Care at a Public Hospital
- MedicineJournal of General Internal Medicine
- 2010
Use of technology to promote standardized referral processes and iterative communication between referring clinicians and specialists has the potential to improve communication between primary care providers and specialists and to increase the effectiveness of specialty referrals.
Referral and consultation communication between primary care and specialist physicians: finding common ground.
- Medicine, Political ScienceArchives of internal medicine
- 2011
Physicians who did not receive timely communication regarding referrals and consultations were more likely to report that their ability to provide high-quality care was threatened and 3 practice characteristics associated with reported communication were "adequate" visit time with patients, receipt of quality reports regarding patients with Chronic conditions, and nurse support for monitoring patients with chronic conditions.
Generalist and specialty physicians: supply and access, 2009-2010.
- Medicine, Political ScienceNCHS data brief
- 2012
This report presents selected trends in physician shortage measures and access to care measures for generalist physicians and specialists.
A typology of specialists' clinical roles.
- MedicineArchives of internal medicine
- 2009
A typology of specialists' clinical roles is described that is based on the conceptual basis for health care specialism and empirical evaluations of the specialty referral process to improve the effectiveness and efficiency of the primary-specialty care interface.