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- Title
Does the patient-centred medical home work? A critical synthesis of research on patient-centred medical homes and patient-related outcomes.
- Authors
Alexander, Jeffrey A.; Bae, Daniel
- Abstract
Health-care systems in the USA and most of western Europe face challenges in the coordination and integration of care for patients, particularly those with chronic conditions. In response to these problems, interest in the patient-centred medical home (PCMH) model has increased significantly in recent years in the USA, with PCMH implementation underway in a wide variety of practice settings across the country. Despite this enthusiasm, there have been relatively few attempts to examine the empirical evidence on the effects of PCMH on quality and access-related outcomes for patients. This article reviews findings from empirical evaluations of the effects of PCMH on patient-related outcomes and critically examines methodological and conceptual issues in the growing body of PCMH literature. The results of this review suggest that published evaluations are predominantly weighted towards findings that indicate that PCMH is associated with a wide range of positive patient outcomes. However, methodological and measurement issues present in much of this research should be considered when evaluating these findings. The article concludes with recommendations for future PCMH evaluation.
- Subjects
PATIENT-centered care; HEALTH care reform; HEALTH services accessibility; HOLISTIC medicine; INTEGRATED health care delivery; MEDICAL quality control; MEDLINE; ONLINE information services; HEALTH outcome assessment; PATIENT satisfaction; PRIMARY health care; RESEARCH evaluation; RESEARCH funding; SYSTEMATIC reviews
- Publication
Health Services Management Research, 2012, Vol 25, Issue 2, p51
- ISSN
0951-4848
- Publication type
Article
- DOI
10.1258/hsmr.2012.012001