Key Points

• Continuous, health-oriented relationships are the foundation on which the medical home, or "health home," is built. This is the interpersonal environment.

• The patient-centered medical home brings together health professionals to work collectively toward the health needs of the community through the creation of health teams.

• A continuous self-reflective process is required for the physician leader to maintain joy in her or his work, which will translate into the quality of the health home.

• The health home can have the greatest impact on community health by working toward the incorporation of positive lifestyle behaviors. This is the behavioral environment.

• Patient empowerment is a way of interacting in which accurate information is provided in a manner that is understandable to the individual and that both respects and promotes the patient's ability to make decisions. A patient's decision making is the inner, personal environment, influenced by external issues such as culture, family, peer group, work, and payment for care.

• Creating an optimal healing environment (including inner, inter, behavioral, and external) within the medical home will encourage empowerment toward positive change.

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