Journey toward a patient-centered medical home: Readiness for change in primary care practices

Milbank Quarterly

Volumn 89, Issue 3, 2011, Pages 399-424

  Wise, Christopher G ^a   Alexander, Jeffrey A ^a   Green, Lee A ^a   Cohen, Genna R ^a   Koster, Christina R ^a  

^a UNIVERSITY OF MICHIGAN   (United States)

Author keywords

assessment; change factors; PCMH; readiness

Indexed keywords

ARTICLE; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; MEDICAL DOCUMENTATION; MEDICAL INFORMATICS; MEDICAL PRACTICE; MEDICAL SOCIETY; MOTIVATION; PATIENT ATTITUDE; PATIENT CENTERED MEDICAL HOME; PHYSICIAN ATTITUDE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; REIMBURSEMENT; SEMI STRUCTURED INTERVIEW;

ADULT; AGED; ATTITUDE OF HEALTH PERSONNEL; FAMILY PRACTICE; FEMALE; HEALTH PROMOTION; HUMANS; MALE; MICHIGAN; MIDDLE AGED; ORGANIZATIONAL INNOVATION; PATIENT-CENTERED CARE; PREVENTIVE HEALTH SERVICES; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH; QUALITY ASSURANCE, HEALTH CARE; QUESTIONNAIRES;

EID: 80053178509     PISSN: 0887378X     EISSN: 14680009     Source Type: Journal    
DOI: 10.1111/j.1468-0009.2011.00634.x     Document Type: Article

References (22)

1. AAFP (American Academy of Family Physicians), AAP (American Academy of Pediatrics), ACP (American College of Physicians), and AOA (American Osteopathic Association). 2007. Joint Principles of the Patient-Centered Medical Home. Available at (accessed June 29, 2011).
2. Alexander, J.A., L.R. Burns, H.S. Zuckerman, T. Vaughn, R.M. Andersen, P. Torrens, and, D. Hilberman,. 1996. An Exploratory Analysis of Market-Based, Physician-Organization Arrangements. Hospital and Health Services Administration 41 (3): 311-29.
3. Alexander, J.A., D. Lee, J. Griffith, S. Mick, X. Lin, and, J. Banaszak-Holl,. 1999. Do Market-Level Hospital and Physician Resources Affect Small Area Variation in Hospital Use Medical Care Research and Review 56 (March): 94-117. (Pubitemid 29115638)
4. Arrow, K., A. Auerbach, J. Bertko, S. Brownlee, L.P. Casalino, J. Cooper, F.J. Crosson, et al., 2009. Toward a 21st-Century Health Care System: Recommendations for Health Care Reform. Annals of Internal Medicine 150: 493-95.
5. Berenson, R.A., T. Hammons, D.N. Gans, S. Zuckerman, K. Merrell, W.S. Underwood, and, A.F. Williams,. 2008. A House Is Not a Home: Keeping Patients at the Center of Practice Redesign. Health Affairs (Project Hope) 27: 1219-30.
6. Burton, R.A., K.J. Devers, and, R.A. Berenson,. 2011. Patient-Centered Medical Home Recognition Tools: A Comparison of Ten Surveys' Content and Operational Details. Urban Institute, May.
7. Cohen, D., R.R. McDaniel Jr., B.F. Crabtree, M.C. Ruhe, S.M. Weyer, A. Tallia, W.L. Miller, et al,. 2004. A Practice Change Model for Quality Improvement in Primary Care Practice. Journal of Healthcare Management 49 (3): 155-68. (Pubitemid 38656596)
8. Davis, K., S.C. Schoenbaum, and, A.M. Audet,. 2005. A 2020 Vision of Patient-Centered Primary Care. Journal of General Internal Medicine 20: 953-57. (Pubitemid 41726683)
9. Fields, D., E. Leshen, and, K. Patel,. 2010. Driving Quality Gains and Costs Savings through Adoption of Medical Homes. Health Affairs 29 (5): 819-26.
10. Grol, R., and, J. Grimshaw,. 2003. From Best Evidence to Best Practice: Effective Implementation of Change in Patients' Care. The Lancet 363: 1225-30. (Pubitemid 37255352)
11. IOM (Institute of Medicine), Committee on Quality of Health Care in America. 2001. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press.
12. Lofland, J., and, L.H. Lofland,. 1995. Analyzing Social Settings: A Guide to Qualitative Observation and Analysis. 2nd ed. Belmont, CA: Wadsworth.
13. Martin, J.C., R.F. Avant, M.A. Bowman, J.R. Bucholtz, J.R. Dickinson, K.L. Evans, L.A. Green, et al., 2004. The Future of Family Medicine: A Collaborative Project of the Family Medicine Community. Annals of Family Medicine 2 (suppl. 1): s3-s32. (Pubitemid 39319077)
14. McGlynn, E.A., S.M. Asch, J. Adams, J. Keesey, J. Hicks, A. DeCristofaro, and, E.A. Kerr,. 2003. The Quality of Health Care Delivered to Adults in the United States. New England Journal of Medicine 348: 2635-45. (Pubitemid 36741592)
15. Michigan Department of Community Health. 2009. Michigan Department of Community Health Survey of Physicians, Survey Findings 2009. Prepared by Public Sector Consultants Inc.: Lansing, MI.
16. Nutting, P.A., W.L. Miller, B.F. Crabtree, C.R. Jaén, E.E. Stewart, and, K.C. Stange,. 2009. Initial Lessons from the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home. Annals of Family Medicine 7: 254-60. DOI:.
17. Patient-Centered Primary Care Collaborative. 2007. Joint Principles of the Patient Centered Medical Home. Available at (accessed June 29, 2011).
18. Rosenthal, T.C., 2008. The Medical Home: Growing Evidence to Support a New Approach to Primary Care. Journal of the American Board of Family Medicine 21: 427-40.
19. Suchman, A.L., 2010. Organizations as Machines, Organizations as Conversations: Two Core Metaphors and Their Consequences. Medical Care 48. DOI: (published ahead of print).
20. Udow-Phillips, M., T. Ogundimu, E. Ehrlich, H. Kofke-Egger, and, K. Stock,. 2010. CHRTBook: Health Care Variation in Michigan. Ann Arbor, MI: Center for Healthcare Research & Transformation.
21. Weiner, B.J., H. Amick, and, S.D. Lee,. 2008. Review: Conceptualization and Measurement of Organizational Readiness for Change: A Review of the Literature in Health Services Research and Other Fields. Medical Care Research and Review 65 (August): 379-436. (Pubitemid 351990020)
22. Yin, R.K., 1994. Case Study Research: Design and Methods. Thousand Oaks, CA: Sage.