Hong Kong Journal of Paediatrics

Volume 7 Number 4, October 2002

Primary Health Care in the USA: The Medical Home Concept


The health needs of children must be addressed in the context of the family and community. Primary care pediatricians should recognize the general needs of children and the risk factors that are early predictors of "rotten outcomes" of adolescence. A paradigm shift is indicated towards prevention and early intervention. An integrated system of care based on health, education, and family support is essential in each community to foster optimal growth and development of the child. The Medical Home concept has been promoted for primary health care in the USA. This offers accessible, family centered, community based, coordinated, comprehensive, continuous, culturally effective, and compassionate care. The American Academy of Pediatrics supports "every child deserves a medical home" and "one pediatrician can make a difference in his/her community." (HK J Paediatr (new series) 2002;7:240-243)

Key words : Delivery of Health Care; Pediatrics; Primary Health Care

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