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. 2017 May;15(3):230–236. doi: 10.1370/afm.2059

Table 1.

The 10 Goals of the Patient Medical Home Model

  1. Patient centered Provide services that are responsive to patients’ and their families’ feelings, preferences, and expectations
  2. Personal family physician The most responsible provider of a given patient’s medical care
Every person in Canada should have a personal family physician
  3. Team-based care Offer a broad scope of services carried out by teams or networks of clinicians; inclusive of nurses, peer physicians, and others
  4. Timely access Timely access to appointments in the practice
Advocate for and coordinate timely appointments with other health and medical services required
  5. Comprehensive care Provide a comprehensive scope of family practice services by working collaboratively with other professionals
Address public health needs
Taking population health effects into account
  6. Continuity Offer continuous care over time and in different settings
Advocate on the patients’ behalf for continuity of care throughout the health care system
Preserve constant relationships and continuous medical information for patients
  7. Electronic records and health information Maintain electronic medical records
  8. Education, training, and research Serve as a model place for training students, residents, and other health professionals
Carry out and/or encourage staff to be involved in primary care research
  9. Evaluation Carry out ongoing evaluation as part of the commitment to continuous quality improvement
10. System support Internal support through governance and management structures
External support by stakeholders, the public, and other medical and health professionals and their organizations across Canada