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

• Published in: Annals of internal medicine Vol. 177; no. 1; p. 65
• Main Authors: Crowley, Ryan, Pugach, David, Williams, Margo, Goldman, Jason, Hilden, David, Schultz, Anne Furey, Beachy, Micah
• Format: Journal Article
• Language: English
• Published: United States 01.01.2024
• Subjects: Health Personnel; Humans; Patient Care Team; Patient-Centered Care; Physician-Patient Relations; Physicians; United States; United States
• ISSN: 1539-3704
• DOI: 10.7326/M23-2260

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.