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Will It Stand the Test of Health Reform?

Diane R. Rittenhouse, MD, MPH; Stephen M. Shortell, PhD, MPH, MBA

JAMA. 2009;301(19):2038-2040.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The fundamental challenge for health care reform in the United States is to expand access to all US residents, while rapidly reengineering the delivery system to provide consistently high-quality care at lower overall cost. Current reform discussions recognize that success will require a shift in emphasis from fragmentation to coordination and from highly specialized care to primary care and prevention.

One prominent model of delivery system reform is the patient-centered medical home (PCMH). Crafted by the primary care professional organizations in 2007, the model has been endorsed by a broad coalition of health care stakeholders, including all of the major national health plans, most of the Fortune 500 companies, consumer organizations and labor unions, the American Medical Association, and a total of 17 specialty societies.¹ Currently, 22 multistakeholder demonstration pilot projects are under way in 14 states, and the . . . [Full Text of this Article]

The 4 Cornerstones of the PCMH Model

Author Affiliations: Department of Family and Community Medicine and Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco (Dr Rittenhouse); and Division of Health Policy and Management, School of Public Health, University of California, Berkeley (Dr Shortell).

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