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- Title
Unpacking the patient-centered medical home.
- Authors
Domino, Marisa Elena
- Abstract
The concept of the Patient-Centered Medical Home (PCMH) as a way to transform primary care is not new, having been introduced in pediatrics in 1967.1 The Agency for Healthcare Research and Quality (AHRQ) identifies the PCMH as primary care practices incorporating five broad principles of care: comprehensive, team-based, coordinated, accessible, and evidence-based.2 This model of care has received considerable attention in the health service literature, with almost 1500 publications as of this writing that use this term in PubMed alone. These early practices may have operated as a PCMH prior to official recognition and continue to do so afterward; the PCMH seal of approval may allow them to gain recognition from their health system or others of this status but not otherwise make meaningful changes. Newer alternative payment models of primary care, including CMS's Primary Care First Model13,14 intersect PCMH concepts but directly incentivize better health care outcomes and lower costs.
- Subjects
MENTAL health services; PRIMARY care; HOME care services; COMMUNITY health services; HEALTH equity; MEDICAID
- Publication
Health Services Research, 2021, Vol 56, Issue 3, p350
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.13661