The Patient‐Centered Medical Home and Patient Experience

Abstract

In our study, which was large, but somewhat limited in its measures of the PCMH and of patient experience, we found no association between PCMH processes and patient experience. The continued accumulation of evidence related to the possibilities of the PCMH, how PCMH is measured, and how the impact of PCMH is gauged provides important information for health care decision makers.

Delivering PACT-Principled Care: Are Specialty Care Patients Being Left Behind?

“…3,28,29 What is even less clear, however, is how these principles apply to the care of patients with a dominant condition most commonly cared for in specialist clinics. We found wide variation in the ways in which seven HIV Specialty Care Clinics provided care consistent with the PACT-principles, even in the context of a concurrent large investment in primary care medical homes.…”

Cost of Transformation among Primary Care Practices Participating in a Medical Home Pilot

“…[1][2][3][4][5][6][7][8] However, studies with a different design-those comparing practices that have achieved medical home recognition to those that have not-have found more consistent associations between practice transformation and improvements in the quality and efficiency of care, patient experience, and provider satisfaction. [9][10][11][12][13][14] This apparent discrepancy might be explained by barriers that prevent some intervention participants from successfully transforming into medical homes. For example, such transformation may require substantial financial investments that are beyond the reach of some primary care practices.…”

Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use

“…Fourth, while increasingly used to assess PCMH reforms, 27,64,65 patientreported experiences with providers/practices may not fully match to PCMH processes of care. 66 Additional studies that include provider-and practice-level data for investigating associations between PCMH characteristics and MHS use are needed. Lastly, adults who were homeless, institutionalized, or living in military quarters were excluded from MEPS, limiting the generalizability of findings for those groups who often have higher rates of serious mental illness.…”