title: The Patient-Centered Medical Home: Preparation of the Workforce, More Questions than Answers.
abstract: As American medicine continues to undergo significant transformation, the patient-centered medical home (PCMH) is emerging as an interprofessional primary care model designed to deliver the right care for patients, by the right professional, at the right time, in the right setting, for the right cost. A review of local, state, regional and national initiatives to train professionals in delivering care within the PCMH model reveals some successes, but substantial challenges. Workforce policy recommendations designed to improve PCMH effectiveness and efficiency include 1) adoption of an expanded definition of primary care, 2) fundamental redesign of health professions education, 3) payment reform, 4) responsiveness to local needs assessments, and 5) systems improvement to emphasize quality, population health, and health disparities.
authors.affiliation: University of Virginia, Charlottesville, VA, USA, pprestonreynolds@virginia.edu.
authors.forename: P Preston
authors.initials: PP
authors.lastname: Reynolds
authors.forename: Kathleen
authors.initials: K
authors.lastname: Klink
authors.forename: Stuart
authors.initials: S
authors.lastname: Gilman
authors.forename: Larry A
authors.initials: LA
authors.lastname: Green
authors.forename: Russell S
authors.initials: RS
authors.lastname: Phillips
authors.forename: Scott
authors.initials: S
authors.lastname: Shipman
authors.forename: David
authors.initials: D
authors.lastname: Keahey
authors.forename: Kathryn
authors.initials: K
authors.lastname: Rugen
authors.forename: Molly
authors.initials: M
authors.lastname: Davis
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration; D004503:Education, Medical, Graduate / Q000458:organization & administration; D018166:Health Care Reform / Q000458:organization & administration; D006282:Health Personnel / Q000193:education*; D006291:Health Policy; D006801:Humans; D017146:Models, Organizational; D018802:Patient-Centered Care / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D014481:United States