Good neighbors: how will the patient-centered medical home relate to the rest of the health-care delivery system?

Abstract

Recent policy focus on models of the patient-centered medical home raises questions about how medical home practices will relate to the rest of the health-care delivery system. This paper presents a conceptual framework of how patients and clinicians might interact in a medical neighborhood; outlines key features of a neighborhood and incentives for medical neighbors to participate in care coordination; identifies the policy considerations in designing neighborhoods; and puts forth a research agenda to support the development and evaluation of medical neighborhoods.