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Previous Volume 359:1202-1205 September 18, 2008 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Recent efforts to improve primary care in the United States have focused largely on the development and implementation of practice models and payment reforms intended to create a "medical home" for patients. The notion of a medical home makes intuitive sense and indeed has great promise. But unrealistic expectations about this approach abound, and insufficient attention is being paid to several important barriers to the clinical and financial success of the medical-home model.

The concept of a medical home first emerged in pediatrics, where it was recognized that children with special needs would benefit from a delivery model that effectively . . . [Full Text of this Article]

Source Information

Dr. Fisher is a professor of medicine and of community and family medicine and director of the Center for Health Policy Research, Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH.

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