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The Patient-Centered Medical Home, Primary Care, and Diabetes

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Abstract

The concept of patient-centered medicine was conceived for decades, but had its formal roots in 1967, when the American Academy of Pediatrics introduced the term “medical home” to describe the role of primary care pediatric practice as the repository of medical records for chronically ill children and expanded the definition to include primary care that is accessible, continuous, comprehensive, coordinated, family centered, and culturally effective. The Institute of Medicine of the United States proclaimed patient-centered care as one of the six aims to improve the quality of health care and defined it as care that “is respectful to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.” The patient-centered medical home has become a worldwide initiative to reform health care and has moved from pediatrics to be adopted in multiple disciplines including internal medicine, geriatrics, palliative care, and collaborative disease management in diabetes, cancer, and HIV infection.

The sick suffer enough

We must avoid adding insult to injury by denying them a proper role in determining their future

–Jerome P. Kassirer, M.D.

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Rodriguez-Saldana, J. (2019). The Patient-Centered Medical Home, Primary Care, and Diabetes. In: Rodriguez-Saldana, J. (eds) The Diabetes Textbook. Springer, Cham. https://doi.org/10.1007/978-3-030-11815-0_19

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