The term ‘Medical Home’ does not imply that all medical services can be accessed under the one roof. It does imply that the practice will be able to determine the care team you need, and make it available to you in an integrated way, especially when services are delivered elsewhere.
Co-location of medical services is not a defining characteristic of a medical home, and does not guarantee integration.
Very large practices with collocated services need to develop specific systems to develop a sense of accountability, to provide continuity of care and to foster ongoing relationship with particular providers.
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