Comments on: Poll: What are the obstacles to the patient centered medical home? http://www.kevinmd.com/blog/2008/12/poll-what-are-obstacles-to-patient.html medical blog Sun, 22 Nov 2009 22:50:49 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Govindan http://www.kevinmd.com/blog/2008/12/poll-what-are-obstacles-to-patient.html/comment-page-1#comment-88656 Govindan Mon, 15 Dec 2008 07:34:00 +0000 http://clients.emmense.com/kevinmd/2008/12/poll-what-are-the-obstacles-to-the-patient-centered-medical-home.html#comment-88656 It is difficult to have patient centered medical home, but with the mutual understanding it can be successfully done. Almost all the point have been covered, I would like to know more about the success of it. So please let me know more about this. It is difficult to have patient centered medical home, but with the mutual understanding it can be successfully done. Almost all the point have been covered, I would like to know more about the success of it. So please let me know more about this.

]]> By: Joseph E. Scherger, MD, MPH http://www.kevinmd.com/blog/2008/12/poll-what-are-obstacles-to-patient.html/comment-page-1#comment-88601 Joseph E. Scherger, MD, MPH Thu, 11 Dec 2008 07:54:00 +0000 http://clients.emmense.com/kevinmd/2008/12/poll-what-are-the-obstacles-to-the-patient-centered-medical-home.html#comment-88601 The emergence of personal health records will impact this movement and make it more efficient. Through Google Health, Microsoft HealthVault, Dossia and others, many Americans will soon have a web based medical home. This home will connect to their primary care team for a new platform of communication and care. People will increasing do more self-management of their preventive services, chronic illness care and behavior change, and the primary care physician will be the coach/consultant/facilitator. Kevin, your Blog keeps all the work on the primary care physician. When patients take charge, the transition will not be as hard as you think. The emergence of personal health records will impact this movement and make it more efficient. Through Google Health, Microsoft HealthVault, Dossia and others, many Americans will soon have a web based medical home. This home will connect to their primary care team for a new platform of communication and care. People will increasing do more self-management of their preventive services, chronic illness care and behavior change, and the primary care physician will be the coach/consultant/facilitator. Kevin, your Blog keeps all the work on the primary care physician. When patients take charge, the transition will not be as hard as you think.

]]> By: Jaywon http://www.kevinmd.com/blog/2008/12/poll-what-are-obstacles-to-patient.html/comment-page-1#comment-88599 Jaywon Thu, 11 Dec 2008 01:10:00 +0000 http://clients.emmense.com/kevinmd/2008/12/poll-what-are-the-obstacles-to-the-patient-centered-medical-home.html#comment-88599 I believe that the biggest obstacle to achieving a meaningful and sustainable patient-centered model in U.S. health care is not listed among the options you have provided on your blog. I would argue that lack of political will is the key obstacle. Until patients and physicians work together towards successful implementation of the medical home model, there will be little to no political pressure to eliminate the status quo. This November's historic election proved that we, the people, can make change when we want to. Here in Long Beach, we registered patients to vote and implemented get-out-the-vote efforts in a non-partisan way. There was an overwhelmingly positive response from our patients. The "system" can be changed; imagine if we harnessed the political power of the 47 million uninsured patients in our nation to ensure that every patient had a medical home.<br/><br/>I have the privilege of working with medical students and family medicine residents, virtually all of whom have chosen to enter the medicine to provide a medical home for their patients. Imagine if we coupled the patient voice with a physician voice.<br/><br/>Jay W. Lee, M.D., M.P.H.<br/>Memorial Family Medicine I believe that the biggest obstacle to achieving a meaningful and sustainable patient-centered model in U.S. health care is not listed among the options you have provided on your blog. I would argue that lack of political will is the key obstacle. Until patients and physicians work together towards successful implementation of the medical home model, there will be little to no political pressure to eliminate the status quo. This November’s historic election proved that we, the people, can make change when we want to. Here in Long Beach, we registered patients to vote and implemented get-out-the-vote efforts in a non-partisan way. There was an overwhelmingly positive response from our patients. The “system” can be changed; imagine if we harnessed the political power of the 47 million uninsured patients in our nation to ensure that every patient had a medical home.

I have the privilege of working with medical students and family medicine residents, virtually all of whom have chosen to enter the medicine to provide a medical home for their patients. Imagine if we coupled the patient voice with a physician voice.

Jay W. Lee, M.D., M.P.H.
Memorial Family Medicine

]]> By: Carla Kakutani MD http://www.kevinmd.com/blog/2008/12/poll-what-are-obstacles-to-patient.html/comment-page-1#comment-88580 Carla Kakutani MD Wed, 10 Dec 2008 00:33:00 +0000 http://clients.emmense.com/kevinmd/2008/12/poll-what-are-the-obstacles-to-the-patient-centered-medical-home.html#comment-88580 You've laid out several obstacles to the patient centered medical home, but rather than dwelling on why it can't happen, I'd like to focus on why it is so important to our nation that it DOES happen. For health care reform to have any chance to reverse the current US trend of paying more money for poorer outcomes, we need to have a vision that does more than just expand coverage. The medical home can provide this. Without it we face health care costs that continue to spiral with no end in sight.<br/>Family physicians are frustrated when the things they were trained to do and they know save money in the long term, such as care coordination and education, are not valued or rewarded in the system. The medical home, by aligning incentives, would solve this and make primary care much more attractive.<br/>I precept medical students and physicians in my office and work with many enthusiastic and dedicated students and residents through the CA Academy of Family Physicians. This next generation of doctors has a desire to serve--they just need the system changed to make it possible. You’ve laid out several obstacles to the patient centered medical home, but rather than dwelling on why it can’t happen, I’d like to focus on why it is so important to our nation that it DOES happen. For health care reform to have any chance to reverse the current US trend of paying more money for poorer outcomes, we need to have a vision that does more than just expand coverage. The medical home can provide this. Without it we face health care costs that continue to spiral with no end in sight.
Family physicians are frustrated when the things they were trained to do and they know save money in the long term, such as care coordination and education, are not valued or rewarded in the system. The medical home, by aligning incentives, would solve this and make primary care much more attractive.
I precept medical students and physicians in my office and work with many enthusiastic and dedicated students and residents through the CA Academy of Family Physicians. This next generation of doctors has a desire to serve–they just need the system changed to make it possible.

]]>