Is There a Personal Doctor in the House?
Authors: Andrew B. Bindman
Journal: Annals of Internal Medicine (2009)

Editorials3 March 2009Is There a Personal Doctor in the House?Andrew B. Bindman, MDAndrew B. Bindman, MDFrom San Francisco General Hospital and the University of California, San Francisco, San Francisco, CA 94143.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-150-5-200903030-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Primary care medical specialty societies, including the American College of Physicians, promote the patient-centered medical home as a way to improve the U.S. health care system (1). Some of the principles of a patient-centered medical home include a personal physician, a physician-directed medical team, a whole-person orientation, care coordination, a commitment to quality and safety, and the provision of enhanced access (2). These themes are highly recognizable elements of previously published definitions of primary care (3, 4). The novelty is in the linkage of these concepts to a business proposition. Primary care advocates contend that they should be better paid ...References1. American College of Physicians. The Advanced Medical Home: A Patient-Centered, Physician-Guided-Model of Health Care. A Policy Monograph. Philadelphia: American Coll of Physicians; 2006. Google Scholar2. American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP), American Osteopathic Association (AOA). Joint Principles of the Patient-Centered Medical Home, March 2007. Accessed at www.acponline.org/hpp/approve_jp.pdf?hp on 22 January 2009. Google Scholar3. Institute of Medicine. Committee on the Future of Primary Care. Primary Care: America's Health in a New Era. Washington, DC: National Academies Pr; 1996. Google Scholar4. Starfield B. 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Seligman HK, Chattopadhyay A, Vittinghoff E, Bindman AB. Racial and ethnic differences in receipt of primary care services between medicaid fee-for-service and managed care plans. J Ambul Care Manage. 2007;30:264-73. [PMID: 17581438] CrossrefMedlineGoogle Scholar15. Grumbach K, Bodenheimer T. A primary care home for Americans: putting the house in order. JAMA. 2002;288:889-93. [PMID: 12186609] CrossrefMedlineGoogle Scholar16. Rogers JC. The patient-centered medical home movement—promise and peril for family medicine. J Am Board Fam Med. 2008;21:370-4. [PMID: 18772290] CrossrefMedlineGoogle Scholar17. Berenson RA, Hammons T, Gans DN, Zuckerman S, Merrell K, Underwood WS, et al. A house is not a home: keeping patients at the center of practice redesign. Health Aff (Millwood). 2008;27:1219-30. [PMID: 18780904] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Andrew B. Bindman, MDAffiliations: From San Francisco General Hospital and the University of California, San Francisco, San Francisco, CA 94143.Disclosures: None disclosed.Corresponding Author: Andrew B. Bindman, MD, San Francisco General Hospital and University of California, San Francisco, 1001 Potrero Avenue, Building 10/Ward 13, San Francisco, CA 94110; e-mail, [email protected]ucsf.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPatient–Physician Connectedness and Quality of Primary Care Steven J. Atlas , Richard W. Grant , Timothy G. Ferris , Yuchiao Chang , and Michael J. Barry Metrics Cited byAid Workers, Expatriates and TravelThe Patient-Centered Medical Home: An Ethical Analysis of Principles and PracticeContinuity of Care with a Primary Care Physician and Mortality in Older Adults 3 March 2009Volume 150, Issue 5Page: 351-352KeywordsBehaviorHealth careInformation technologyNursesObservational studiesPreventive medicinePrimary carePrimary care physiciansRacial and ethnic issuesSafety ePublished: 3 March 2009 Issue Published: 3 March 2009 Copyright & PermissionsCopyright © 2009 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...