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

J Gen Intern Med. 2010 Jun;25(6):630-4. doi: 10.1007/s11606-009-1208-1.


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.

MeSH terms

  • Delivery of Health Care / organization & administration*
  • Health Policy
  • Humans
  • Interprofessional Relations
  • Models, Organizational
  • Patient-Centered Care / organization & administration*
  • Professional-Patient Relations