The Inflammatory Bowel Disease Specialty Medical Home: A New Model of Patient-centered Care

被引:10
作者
Regueiro, Miguel D. [1 ,2 ,3 ]
McAnallen, Sandra E. [4 ]
Greer, Julia B. [2 ]
Perkins, Stephen E. [5 ]
Ramalingam, S. [6 ,7 ]
Szigethy, Eva [2 ,8 ]
机构
[1] Univ Pittsburgh, Sch Med, Ctr Inflammatory Bowel Dis, Total Care IBD, Pittsburgh, PA USA
[2] Univ Pittsburgh, Med Ctr, Dept Med, Div Gastroenterol Hepatol & Nutr, C Wing PUH,200 Lothrop St, Pittsburgh, PA 15213 USA
[3] UPMC Hlth Plan, Specialty Med Homes, Pittsburgh, PA USA
[4] UPMC Hlth Plan, Clin Affairs & Qual Performance, Pittsburgh, PA USA
[5] UPMC Hlth Plan, Med Affairs, Pittsburgh, PA USA
[6] Univ Pittsburgh, Sch Med, Dept Family Med, Pittsburgh, PA USA
[7] UPMC Hlth Plan, Med Management, Pittsburgh, PA USA
[8] Univ Pittsburgh, Sch Med, Visceral Inflammat & Pain Ctr, Total Care IBD, Pittsburgh, PA USA
关键词
patient-centered; medical home; specialty; inflammatory bowel disease; pain; payer; new models of care; FUNCTIONAL GASTROINTESTINAL DISORDERS; MAJOR DEPRESSIVE DISORDER; CROHNS-DISEASE; OPPORTUNISTIC INFECTIONS; TRICYCLIC ANTIDEPRESSANTS; PSYCHOLOGICAL TREATMENTS; COLORECTAL-CANCER; RISK-FACTORS; FOLLOW-UP; METAANALYSIS;
D O I
10.1097/MIB.0000000000000819
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
New models of health care have emerged over the past decade. Accountable care organizations and patient-centered medical homes are designed to improve the patient experience, enhance health care quality, and decrease cost. These models have been developed in the primary care domain and have yet to be tested in specialty care. Certain chronic diseases require principal care by a specialist or health care team. The specialty medical home would provide patient-centered care for specific populations of patients whose health care derives from a single chronic disease. This article defines the parameters for a specialty medical home and provides a specific payer-provider experience for the comprehensive care of an inflammatory bowel disease population.
引用
收藏
页码:1971 / 1980
页数:10
相关论文
共 75 条
[1]  
*AM COLL PHYS, PAT CTR MED HOM
[2]   Comparative benefits and harms of second generation antidepressants and cognitive behavioral therapies in initial treatment of major depressive disorder: systematic review and meta-analysis [J].
Amick, Halle R. ;
Gartlehner, Gerald ;
Gaynes, Bradley N. ;
Forneris, Catherine ;
Asher, Gary N. ;
Morgan, Laura C. ;
Coker-Schwimmer, Emmanuel ;
Boland, Erin ;
Lux, Linda J. ;
Gaylord, Susan ;
Bann, Carla ;
Pierl, Christiane Barbara ;
Lohr, Kathleen N. .
BMJ-BRITISH MEDICAL JOURNAL, 2015, 351
[3]  
[Anonymous], CORN CHECKL IBD PAT
[4]  
Aufses AH, 2000, MT SINAI J MED, V67, P198
[5]   Vitamin D and Crohn's Disease in the Adult Patient: A Review [J].
Basson, Abigail .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2014, 38 (04) :438-458
[6]   Immunosuppression-Related Lymphomas and Cancers in IBD: How Can They Be Prevented? [J].
Beaugerie, Laurent .
DIGESTIVE DISEASES, 2012, 30 (04) :415-419
[7]   A survey of current practices used to maintain surgically induced remission following intestinal resection for Crohn's disease [J].
Burke, John P. ;
Doherty, Glen A. ;
O'Connell, P. Ronan .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2013, 28 (08) :1073-1079
[8]   Specialist Physician Practices as Patient-Centered Medical Homes [J].
Casalino, Lawrence P. ;
Rittenhouse, Diane R. ;
Gillies, Robin R. ;
Shortell, Stephen M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2010, 362 (17) :1555-1558
[9]   Home is Where the Patient is A Ground-level Perspective on the Patient-centered Medical Home [J].
Cutrona, Sarah L. ;
Keitz, Sheri A. .
MEDICAL CARE, 2015, 53 (05) :387-388
[10]  
Danford Christopher, 2014, Educ Health (Abingdon), V27, P205, DOI 10.4103/1357-6283.143771