| 英文摘要 |
The organ- and disease-specific healthcare service model has been facing various challenges, notably increased medical costs, limited accessibility, and unsatisfactory healthcare outcomes caused by its fragmentary nature. An innovative medical care model,“Patient-Centered Medical Home” (PCMH), has been developed in the United States. Observing the principles of PCMH, the U.S. Veterans Health Administration introduces the “Patient Alliance Care Team” (PACT) to cope with the unmet needs. PACT develops patient-centered, tailor-made care plans to meet patients’ needs with team-based assessment and treatment, offering efficient, comprehensive, accessible and continuous services with active communication and teamwork cooperation to improve quality of care, reduce medical costs and alleviate burden of care for patients, caregivers, and healthcare staff. Independence at Home (IAH) and the Geriatric Patient Aligned Care Team (GeriPACT) are two alternative models providing home-based primary care for patients with multi-morbidity and disability. Indicators of PCMH have been developed and used as criteria for reimbursement. Despite their existing differences, PCMH, PACT, GeriPACT and IAH are all able to improve the quality of care and reduce of healthcare expenditure by promoting person-centered and community-based integrated care; they undoubtedly deserve the consideration of policymakers who are seeking innovative approaches for turning a new page of long-term care in Taiwan. |
