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Nearly half of physician practices do not meet national standards for 'medical homes'
Date:10/18/2011

ings also suggest that health care disparities could be exacerbated because vulnerable populations, such as patients living below the poverty level, often see doctors in practices that do not meet standards for becoming a medical home.

"Patients from the poorest neighborhoods visit practices that do not meet medical home standards at higher rates than those in the more affluent neighborhoods," says Hollingsworth, an assistant professor of urology at the U-M Medical School. "These people are already economically disadvantaged and, on top of that, they wouldn't have access to the potentially higher quality of care offered by this delivery system reform."

Hollingsworth and his coauthors urge policy-makers "to address the challenges facing smaller practices" in order to "make the benefits of medical homes more equitable and widely accessible."

They suggest legislative incentives to help solo or small practices to affiliate with larger physician organizations, practice team-based care, and adopt health information technology. They also recommend initiatives that would enable regional centers to facilitate medical home reforms in less populated areas.


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Contact: Ian Demsky
idemsky@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

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