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Good Neighbors: How Will the Patient-Centered Medical Home Relate to the Rest of the Health-Care Delivery System?

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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.

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Acknowledgments: The author would like to thank members of the SGIM Patient Centered Medical Home Working Group for valuable comments on earlier drafts.

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Correspondence to Hoangmai H. Pham MD, MPH.

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Pham, H.H. Good Neighbors: How Will the Patient-Centered Medical Home Relate to the Rest of the Health-Care Delivery System?. J GEN INTERN MED 25, 630–634 (2010).

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