The Patient’s medical neighbourhood includes the Patient’s Medical Home, along with a constellation of other health and social services. The concept of a medical neighbourhood fits well within the LHIN sub-regional approaches proposed in Ontario as part of Patients First: Action Plan for Health Care. The Patient’s Medical Home is the central point of contact for the patient and is the primary coordinator of patient care across various “neighbours”—hospitals, mental health care, addiction services, rehabilitation, long-term care, community care, public health, etc.
Working within a neighbourhood can entail collaboration among various family practices. The neighbourhood is not necessarily a geographic construct, but rather a set of relationships revolving around the patient and his or her healthcare needs. Most medical neighbourhood clinicians are likely to be in close proximity to the patient and his or her medical home. But in some cases, the most appropriate care may be located in other communities.