Pediatric medical home: foundations, challenges, and future directions

Harsh K Trivedi; Nancy A Pattison; Lourival Baptista Neto

doi:10.1016/j.chc.2010.02.006

Pediatric medical home: foundations, challenges, and future directions

Child Adolesc Psychiatr Clin N Am. 2010 Apr;19(2):183-97, vii. doi: 10.1016/j.chc.2010.02.006.

Authors

Harsh K Trivedi¹, Nancy A Pattison, Lourival Baptista Neto

Affiliation

¹ Vanderbilt Medical School, Nashville, TN 37232, USA. harsh.k.trivedi@vanderbilt.edu

PMID: 20478495
DOI: 10.1016/j.chc.2010.02.006

Abstract

The medical home concept has been in existence since the late 1960s and has recently been significantly broadened to encompass comprehensive primary care for all patient populations throughout the lifespan. This article provides (1) a review of the foundations and evolution of the medical home concept; (2) an analysis of patient/family, provider, and systemic challenges to developing an effective pediatric medical home particularly in relation to children's mental health needs; and (3) a discussion of future directions for its further adoption and successful implementation.

MeSH terms

Child
Child Health Services / organization & administration*
Delivery of Health Care / statistics & numerical data
Forecasting
Health Policy
Humans
Medical Records*
Pediatrics / standards*
Pediatrics / trends*
Practice Patterns, Physicians' / organization & administration
Primary Health Care / organization & administration*