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March/April 2011 Annals of Family Medicine tip sheet
Date:3/14/2011

North America's Largest Example of a Patient-Centered Medical Home Popular with Patients and Physicians

Rosser and colleagues detail the implementation of Ontario's Family Health Team Model, which serves nearly 2 million Ontarians, making it North America's largest example of a patient-centered medical home. Implemented in 2005, the Family Health Team model is based on multidisciplinary teams and an innovative incentive-based funding system. Preliminary observations suggest high satisfaction among patients, higher income and more gratification for primary care physicians, and trends for more medical students to select careers in family medicine. Popular demand, the authors note, is resulting in expansion from 170 FHTs today to 200 FHTs in the near future. They assert the model should be part of the solution for health system reform in both Canada and the United States.

Progress of Ontario's Family Health Team Model: A Patient-Centered Medical Home
By Walter W. Rosser, M.D., et al
Queen's University School of Medicine, Ontario, Canada


Novel, Patient-Friendly Approach to Detecting White-Coat Hypertension

Sitting for 30 minutes in a quiet room with automated serial blood pressure measurements is as useful in detecting white-coat hypertension as is standard 24-hour continuous home blood pressure monitoring, saving patients from being falsely labeled as hypertensive and the traditional costs and trouble of finding out. Using the same technology used for 24-hour blood pressure measurement, the authors analyzed data from 84 patients. They found a difference of less than 2 mm Hg, with a standard deviation of the difference of less than 10 mm Hg, for the systolic and diastolic blood pressures using the 30-minute method compared with the 24-hour method. They conclude the automated 30-minute blood pressure measurement technique is a valid, useful, office-based alternative to the more laborious 24-hour blood pressure
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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