Principles for the Physician-Led Patient-Centered Medical Home and Other Approaches to Team-Based Care: A Position Paper From the American College of Physicians
Ryan Crowley, David Pugach, Margo Williams, Jason D. Goldman, David Hilden, Anne Furey Schultz, Micah Beachy, David Hilden, Micah Beachy, Jan K. Carney, Haidn Foster, Austin Hoeg, Matthew Hollon, Cynthia Jumper, Selvam Joseph Mascarenhas, Ankita Sagar, Jenny R. Silberger, Jamar Slocum, Michael Tan, Elham Yousef, Jason M. Goldman, Anne Furey Schultz, Leslie F. Algase, Felicia Austin-Jordan, Sarah G. Candler, Robert B. Hauger, Stuart Henochowicz, Ali Khan, Scott Manaker, Kristin Mitchell, Neha Singh, Earl Stewart
Abstract
Team-based care models such as the Patient-Centered Medical Home are associated with improved patient health outcomes, better team coordination and collaboration, and increased well-being among health care professionals. Despite these attributes, hindrances to wider adoption remain. In addition, some health care professionals have sought to practice independent of the physician-led health care team, potentially undermining patient access to physicians who have the skills and training to deliver whole-person, comprehensive, and longitudinal care. In this paper, the American College of Physicians reaffirms the importance of the physician-led health care team and offers policy recommendations on professionalism, payment models, training, licensure, and research to support the expansion of dynamic clinical care teams.