The patient-centered medical home: A systematic review

Annals of Internal Medicine

Volumn 158, Issue 3, 2013, Pages 169-178

  Jackson, George L ^a   Powers, Benjamin J ^b   Chatterjee, Ranee ^c   Bettger, Janet Prvu ^c   Kemper, Alex R ^d   Hasselblad, Vic ^e   Dolor, Rowena J ^d   Julian Irvine, R ^d   Heidenfelder, Brooke L ^d   Kendrick, Amy S ^d   Gray, Rebecca ^d   Williams, John W ^f  

^a DURHAM VA MEDICAL CENTER   (United States)

^b not available   (United States)

^c DUKE UNIVERSITY   (United States)

^d DUKE CLINICAL RESEARCH INSTITUTE   (United States)

^e not available   (United States)

^f DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

FINANCIAL MANAGEMENT; HEALTH CARE ACCESS; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH ECONOMICS; HUMAN; MEDICAL CARE; OBSERVATIONAL STUDY; PATIENT CENTERED MEDICAL HOME; PERSONAL EXPERIENCE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; SYSTEMATIC REVIEW; ECONOMICS; EMERGENCY HEALTH SERVICE; GENERAL PRACTITIONER; HEALTH CARE COST; HOSPITAL ADMISSION; PATIENT CARE; PATIENT SATISFACTION; PREVENTIVE HEALTH SERVICE; PRIMARY HEALTH CARE; PSYCHOLOGICAL ASPECT; SATISFACTION; STANDARD; STATISTICS;

EMERGENCY MEDICAL SERVICES; HEALTH CARE COSTS; HUMANS; PATIENT ADMISSION; PATIENT CARE TEAM; PATIENT SATISFACTION; PATIENT-CENTERED CARE; PERSONAL SATISFACTION; PHYSICIANS, PRIMARY CARE; PREVENTIVE HEALTH SERVICES; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE;

EID: 84873351688     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/0003-4819-158-3-201302050-00579     Document Type: Review

References (90)

1. Martin A, Lassman D, Whittle L, Catlin A; National Health Expenditure Accounts Team. Recession contributes to slowest annual rate of increase in health spending in five decades. Health Aff (Millwood). 2011;30:11-22. [PMID: 21209433]
2. McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348:2635-45. [PMID: 12826639]
3. Jencks SF, Huff ED, Cuerdon T. Change in the quality of care delivered to Medicare beneficiaries, 1998-1999 to 2000-2001. JAMA. 2003;289:305-12. [PMID: 12525231]
4. Saaddine JB, Cadwell B, Gregg EW, Engelgau MM, Vinicor F, Imperatore G, et al. Improvements in diabetes processes of care and intermediate outcomes: United States, 1988-2002. Ann Intern Med. 2006;144:465-74. [PMID: 16585660]
5. Grant RW, Buse JB, Meigs JB. Quality of diabetes care in U.S. academic medical centers: low rates of medical regimen change. Diabetes Care. 2005;28:337-442. [PMID: 15677789]
6. Nolte E, McKee CM. Measuring the health of nations: updating an earlier analysis. Health Aff (Millwood). 2008;27:58-71. [PMID: 18180480]
7. Bodenheimer T. Primary care-will it survive? N Engl J Med. 2006;355:861-4. [PMID: 16943396]
8. Agency for Healthcare Research and Quality. Patient Centered Medical Home Resource Center. Accessed at http://pcmh.ahrq.gov/ on 24 January 2011.
9. Scholle S, Torda P, Peikes D, Han E, Genevro J. Engaging Patients and Families in the Medical Home (Prepared by Mathematica Policy Research under contract no. HHSA290200900019ITO2.) AHRQ Publication no. 10-0083-EF. Rockville, MD: Agency for Healthcare Research and Quality; June 2010.
10. Moreno L, Peikes D, Krilla A. Necessary But Not Sufficient: The HITECH Act and Health Information Technology's Potential to Build Medical Homes. (Prepared by Mathematica Policy Research under contract no. HHSA290200900019ITO2.) AHRQ Publication no. 10-0080-EF. Rockville, MD: Agency for Healthcare Research and Quality; June 2010.
11. Stange KC, Nutting PA, Miller WL, Jaen CR, Crabtree BF, Flocke SA, et al. Defining and measuring the patient-centered medical home. J Gen Intern Med. 2010;25:601-12. [PMID: 20467909]
12. Sia C, Tonniges TF, Osterhus E, Taba S. History of the medical home concept. Pediatrics. 2004;113:1473-8. [PMID: 15121914]
13. Wagner EH, Glasgow RE, Davis C, Bonomi AE, Provost L, McCulloch D, et al. Quality improvement in chronic illness care: a collaborative approach. Jt Comm J Qual Improv. 2001;27:63-80. [PMID: 11221012]
14. Kilo CM, Wasson JH. Practice redesign and the patient-centered medical home: history, promises, and challenges. Health Aff (Millwood). 2010;29:773-8. [PMID: 20439860]
15. Carrier E, Gourevitch MN, Shah NR. Medical homes: challenges in translating theory into practice. Med Care. 2009;47:714-22. [PMID: 19536005]
16. Vest JR, Bolin JN, Miller TR, Gamm LD, Siegrist TE, Martinez LE. Medical homes: "where you stand on definitions depends on where you sit". Med Care Res Rev. 2010;67:393-411. [PMID: 20448255]
17. Agency for Healthcare Research and Quality. Closing the Quality Gap: Revisiting the State of the Science-Series Overview. 23 June 2011. Accessed at www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports /?pageaction_displayproduct&productid_715 on 13 March 2012.
18. Williams JW, Jackson GL, Powers BJ, Chatterjee R, Prvu Bettger J, Kemper AR, et al. Closing the Quality Gap: Revisiting the State of the Science. Evidence Report no. 208. (Prepared by the Duke Evidence-based Practice Center under contract no. 290-2007-10066-I.) Rockville, MD: Agency for Healthcare Research and Quality; July 2012. Accessed at www.effectivehealthcare.ahrq.gov /reports/final.cfm.
19. Chapman AL, Morgan LC, Gartlehner G. Semi-automating the manual literature search for systematic reviews increases efficiency. Health Info Libr J. 2010;27:22-7. [PMID: 20402801]
20. Bitton A, Martin C, Landon BE. A nationwide survey of patient centered medical home demonstration projects. J Gen Intern Med. 2010;25:584-92. [PMID: 20467907]
21. Homer CJ, Klatka K, Romm D, Kuhlthau K, Bloom S, Newacheck P, et al. A review of the evidence for the medical home for children with special health care needs. Pediatrics. 2008;122:e922-37. [PMID: 18829788]
22. Rosenthal TC. The medical home: growing evidence to support a new approach to primary care. J Am Board Fam Med. 2008;21:427-40. [PMID: 18772297]
23. Robert Graham Center. The patient centered medical home: history, seven core features, evidence and transformational change. 2007. Accessed at www.graham-center.org/online/graham/home/publications/monographs-books/2007 /rgcmo-medical-home.html on 21 September 2010.
24. Grumbach K, Bodenheimer T, Grundy P. The outcomes of implementing patient-centered medical home interventions: A review of the evidence on quality, access and costs from recent prospective evaluation studies, August 2009. Accessed at www.pcpcc.net/files/evidenceWEB%20FINAL%2010.16.09_1.pdf on 21 September 2010.
25. Ginsburg P, Maxfield M, O'Malley A, Peikes D, Pham H. Making medical homes work: moving from concept to practice. December 2008. Accessed at http://hschange.org/CONTENT/1030/? on 21 September 2010.
26. DePalma JA. Evidence to support medical home concept for children with special health care needs. Home Health Care Management & Practice. 2007;19:473-5.
27. Agency for Healthcare Research and Quality. Methods guide for effectiveness and comparative effectiveness reviews. Rockville, MD: Agency for Health-care Research and Quality. Accessed at www.effectivehealthcare.ahrq.gov/index.cfm /search-for-guides-reviews-and-reports/?pageaction_displayproduct&productid _318 on 31 October 2011.
28. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177-88. [PMID: 3802833]
29. Durlak JA. How to select, calculate, and interpret effect sizes. J Pediatr Psychol. 2009;34:917-28. [PMID: 19223279]
30. Owens DK, Lohr KN, Atkins D, Treadwell JR, Reston JT, Bass EB, et al. AHRQ series paper 5: grading the strength of a body of evidence when comparing medical interventions-Agency for Healthcare Research and Quality and the Effective Health Care Program. J Clin Epidemiol. 2010;63:513-23. [PMID: 19595577]
31. Hebert R, Durand PJ, Dubuc N, Tourigny A. Frail elderly patients. New model for integrated service delivery. Can Fam Physician. 2003;49:992-7. [PMID: 12943358]
32. Jackson GL, Powell AA, Ordin DL, Schlosser JE, Murawsky J, Hersh J, et al. Developing and sustaining quality improvement partnerships in the VA: the Colorectal Cancer Care Collaborative. J Gen Intern Med. 2010;25 Suppl 1:38-43. [PMID: 20077150]
33. Nutting PA, Crabtree BF, Stewart EE, Miller WL, Palmer RF, Stange KC, et al. Effect of facilitation on practice outcomes in the National Demonstration Project model of the patient-centered medical home. Ann Fam Med. 2010;8 Suppl 1:S33-44; S92. [PMID: 20530393]
34. Nutting PA, Crabtree BF, Miller WL, Stewart EE, Stange KC, Jaen CR. Journey to the patient-centered medical home: a qualitative analysis of the experiences of practices in the National Demonstration Project. Ann Fam Med. 2010;8 Suppl 1:S45-56; S92. [PMID: 20530394]
35. Jaen CR, Crabtree BF, Palmer RF, Ferrer RL, Nutting PA, Miller WL, et al. Methods for evaluating practice change toward a patient-centered medical home. Ann Fam Med. 2010;8 Suppl 1:S9-20; S92. [PMID: 20530398]
36. Reid RJ, Fishman PA, Yu O, Ross TR, Tufano JT, Soman MP, et al. Patient-centered medical home demonstration: a prospective, quasi-experimental, before and after evaluation. Am J Manag Care. 2009;15:e71-87. [PMID: 19728768]
37. Farmer JE, Clark MJ, Drewel EH, Swenson TM, Ge B. Consultative care coordination through the medical home for CSHCN: a randomized controlled trial. Matern Child Health J. 2011;15:1110-18. [PMID: 20721612]
38. Boult C, Reider L, Frey K, Leff B, Boyd CM, Wolff JL, et al. Early effects of "Guided Care" on the quality of health care for multimorbid older persons: a cluster-randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2008;63:321-7. [PMID: 18375882]
39. Boyd CM, Boult C, Shadmi E, Leff B, Brager R, Dunbar L, et al. Guided care for multimorbid older adults. Gerontologist. 2007;47:697-704. [PMID: 17989412]
40. Zuckerman B, Parker S, Kaplan-Sanoff M, Augustyn M, Barth MC. Healthy Steps: a case study of innovation in pediatric practice. Pediatrics. 2004;114:820-6. [PMID: 15342859]
41. Toseland RW, O'Donnell JC, Engelhardt JB, Richie J, Jue D, Banks SM. Outpatient geriatric evaluation and management: is there an investment effect? Gerontologist. 1997;37:324-32. [PMID: 9203756]
42. Solberg LI, Asche SE, Fontaine P, Flottemesch TJ, Anderson LH. Trends in quality during medical home transformation. Annals of Family Medicine. 2011;9:515-521. [PMID: 2011362700]
43. Domino ME, Humble C, Lawrence WW Jr, Wegner S. Enhancing the medical homes model for children with asthma. Med Care. 2009;47:1113-20. [PMID: 19786921]
44. Wise CG, Bahl V, Mitchell R, West BT, Carli T. Population-based medical and disease management: an evaluation of cost and quality. Dis Manag. 2006;9:45-55. [PMID: 16466341]
45. Schraeder C, Dworak D, Stoll JF, Kucera C, Waldschmidt V, Dworak MP. Managing elders with comorbidities. J Ambul Care Manage. 2005;28:201-9. [PMID: 15968212]
46. Taplin S, Galvin MS, Payne T, Coole D, Wagner E. Putting populationbased care into practice: real option or rhetoric? J Am Board Fam Pract. 1998;11:116-26. [PMID: 9542703]
47. Rula EY, Pope JE, Stone RE. A review of healthways' medicare health support program and final results for two cohorts. Population Health Management. 2011;14:S-3-s-10.
48. Sommers LS, Marton KI, Barbaccia JC, Randolph J. Physician, nurse, and social worker collaboration in primary care for chronically ill seniors. Arch Intern Med. 2000;160:1825-33. [PMID: 10871977]
49. Dorr DA, Wilcox AB, Brunker CP, Burdon RE, Donnelly SM. The effect of technology-supported, multidisease care management on the mortality and hospitalization of seniors. J Am Geriatr Soc. 2008;56:2195-202. [PMID: 19093919]
50. Steele GD, Haynes JA, Davis DE, Tomcavage J, Stewart WF, Graf TR, et al. How Geisinger's advanced medical home model argues the case for rapid-cycle innovation. Health Aff (Millwood). 2010;29:2047-53. [PMID: 21041747]
51. Martin AB, Crawford S, Probst JC, Smith G, Saunders RP, Watkins KW, et al. Medical homes for children with special health care needs: a program evaluation. J Health Care Poor Underserved. 2007;18:916-30. [PMID: 17982215]
52. Rubin CD, Sizemore MT, Loftis PA, Adams-Huet B, Anderson RJ. The effect of geriatric evaluation and management on Medicare reimbursement in a large public hospital: a randomized clinical trial. J Am Geriatr Soc. 1992;40:989-95. [PMID: 1401688]
53. Reid RJ, Coleman K, Johnson EA, Fishman PA, Hsu C, Soman MP, et al. The group health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood). 2010;29:835-43. [PMID: 20439869]
54. Gilfillan RJ, Tomcavage J, Rosenthal MB, Davis DE, Graham J, Roy JA, et al. Value and the medical home: effects of transformed primary care. Am J Manag Care. 2010;16:607-14. [PMID: 20712394]
55. Peikes D, Chen A, Schore J, Brown R. Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. JAMA. 2009;301:603-18. [PMID: 19211468]
56. Maeng DD, Graham J, Graf TR, Liberman JN, Dermes NB, Tomcavage J, et al. Reducing long-term cost by transforming primary care: evidence from Geisinger's medical home model. Am J Manag Care. 2012;18:149-55. [PMID: 22435908]
57. Institute of Medicine Committee on Quality Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Pr; 2001.
58. Berwick DM. Making good on ACOs' promise-the final rule for the Medicare shared savings program. N Engl J Med. 2011;365:1753-6. [PMID: 22013899]
59. Sommers BD, Bindman AB. New physicians, the Affordable Care Act, and the changing practice of medicine. JAMA. 2012;307:1697-8. [PMID: 22535852]
60. Boyd CM, Shadmi E, Conwell LJ, Griswold M, Leff B, Brager R, et al. A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults. J Gen Intern Med. 2008;23:536-42. [PMID: 18266045]
61. Boult C, Reider L, Leff B, Frick KD, Boyd CM, Wolff JL, et al. The effect of guided care teams on the use of health services: results from a clusterrandomized controlled trial. Arch Intern Med. 2011;171:460-6. [PMID: 21403043]
62. Toseland RW, O'Donnell JC, Engelhardt JB, Hendler SA, Richie JT, Jue D. Outpatient geriatric evaluation and management. Results of a randomized trial. Med Care. 1996;34:624-40. [PMID: 8656727]
63. Minkovitz CS, Hughart N, Strobino D, Scharfstein D, Grason H, Hou W, et al. A practice-based intervention to enhance quality of care in the first 3 years of life: the Healthy Steps for Young Children Program. JAMA. 2003;290:3081-91. [PMID: 14679271]
64. Crabtree BF, Nutting PA, Miller WL, Stange KC, Stewart EE, Jaen CR. Summary of the National Demonstration Project and recommendations for the patient-centered medical home. Ann Fam Med. 2010;8 Suppl 1:S80-90; S92. [PMID: 20530397]
65. Miller WL, Crabtree BF, Nutting PA, Stange KC, Jaen CR. Primary care practice development: a relationship-centered approach. Ann Fam Med. 2010;8 Suppl 1:S68-79; S92. [PMID: 20530396]
66. Jaen CR, Ferrer RL, Miller WL, Palmer RF, Wood R, Davila M, et al. Patient outcomes at 26 months in the patient-centered medical home National Demonstration Project. Ann Fam Med. 2010;8 Suppl 1:S57-67; S92. [PMID: 20530395]
67. Stewart EE, Nutting PA, Crabtree BF, Stange KC, Miller WL, Jaen CR. Implementing the patient-centered medical home: observation and description of the national demonstration project. Ann Fam Med. 2010;8 Suppl 1:S21-32; S92. [PMID: 20530392]
68. Nutting PA, Miller WL, Crabtree BF, Jaen CR, Stewart EE, Stange KC. Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home. Ann Fam Med. 2009;7:254-60. [PMID: 19433844]
69. Leff B, Reider L, Frick KD, Scharfstein DO, Boyd CM, Frey K, et al. Guided care and the cost of complex healthcare: a preliminary report. Am J Manag Care. 2009;15:555-9. [PMID: 19670959]
70. Marsteller JA, Hsu YJ, Reider L, Frey K, Wolff J, Boyd C, et al. Physician satisfaction with chronic care processes: a cluster-randomized trial of guided care. Ann Fam Med. 2010;8:308-15. [PMID: 20644185]
71. Boyd CM, Reider L, Frey K, Scharfstein D, Leff B, Wolff J, et al. The effects of guided care on the perceived quality of health care for multi-morbid older persons: 18-month outcomes from a cluster-randomized controlled trial. J Gen Intern Med. 2010;25:235-42. [PMID: 20033622]
72. Wolff JL, Giovannetti ER, Boyd CM, Reider L, Palmer S, Scharfstein D, et al. Effects of guided care on family caregivers. Gerontologist. 2010;50:459-70. [PMID: 19710354]
73. Wolff JL, Rand-Giovannetti E, Palmer S, Wegener S, Reider L, Frey K, et al. Caregiving and chronic care: the guided care program for families and friends. J Gerontol A Biol Sci Med Sci. 2009;64:785-91. [PMID: 19349586]
74. Minkovitz CS, Strobino D, Mistry KB, Scharfstein DO, Grason H, Hou W, et al. Healthy Steps for Young Children: sustained results at 5.5 years. Pediatrics. 2007;120:e658-68. [PMID: 17766506]
75. Coleman K, Reid RJ, Johnson E, Hsu C, Ross TR, Fishman P, et al. Implications of reassigning patients for the medical home: a case study. Ann Fam Med. 2010;8:493-8. [PMID: 21060118]
76. Fishman PA, Johnson EA, Coleman K, Larson EB, Hsu C, Ross TR, et al. Impact on seniors of the patient-centered medical home: evidence from a pilot study. Gerontologist. 2012 Mar 15 [Epub ahead of print]. [PMID: 22421916]
77. Sylvia ML, Griswold M, Dunbar L, Boyd CM, Park M, Boult C. Guided care: cost and utilization outcomes in a pilot study. Dis Manag. 2008;11:29-36. [PMID: 18279112]
78. Dorr DA, Wilcox A, Burns L, Brunker CP, Narus SP, Clayton PD. Implementing a multidisease chronic care model in primary care using people and technology. Dis Manag. 2006;9:1-15. [PMID: 16466338]
79. Farmer JE, Clark MJ, Sherman A, Marien WE, Selva TJ. Comprehensive primary care for children with special health care needs in rural areas. Pediatrics. 2005;116:649-56. [PMID: 16140704]
80. Lee JG, Dayal G, Fontaine D. Starting a medical home: better health at lower cost. Healthc Financ Manage. 2011;65:70-6, 78, 80. [PMID: 21692378]
81. Palfrey JS, Sofis LA, Davidson EJ, Liu J, Freeman L, Ganz ML. The Pediatric Alliance for Coordinated Care: evaluation of a medical home model. Pediatrics. 2004;113:1507-16. [PMID: 15121919]
82. Samuels RC, Liu J, Sofis LA, Palfrey JS. Immunizations in children with special health care needs in a medical home model of care. Matern Child Health J. 2008;12:357-62. [PMID: 17578657]
83. Rankin KM, Cooper A, Sanabria K, Binns HJ, Onufer C. Illinois medical home project: pilot intervention and evaluation. Am J Med Qual. 2009;24:302-9. [PMID: 19515943]
84. Treadwell J, Bean G, Warner W. Supporting disease management through intervention in the medical home. Prof Case Manag. 2009;14:192-7. [PMID: 19625938]
85. Chandler C, Barriuso P, Rozenberg-Ben-Dror K, Schmitt B. Pharmacists on a primary care team at a Veterans Affairs medical center. Am J Health Syst Pharm. 1997;54:1280-7. [PMID: 9179348]
86. Farris KB, Cote I, Feeny D, Johnson JA, Tsuyuki RT, Brilliant S, et al. Enhancing primary care for complex patients. Demonstration project using multidisciplinary teams. Can Fam Physician. 2004;50:998-1003. [PMID: 15317232]
87. Peleg R, Press Y, Asher M, Pugachev T, Glicensztain H, Lederman M, et al. An intervention program to reduce the number of hospitalizations of elderly patients in a primary care clinic. BMC Health Serv Res. 2008;8:36. [PMID: 18254972]
88. Schifalacqua M, Hook M, O'Hearn P, Schmidt M. Coordinating the care of the chronically ill in a world of managed care. Nurs Adm Q. 2000;24:12-20. [PMID: 10986928]
89. Vedel I, De Stampa M, Bergman H, Ankri J, Cassou B, Mauriat C, et al. A novel model of integrated care for the elderly: COPA, Coordination of Professional Care for the Elderly. Aging Clin Exp Res. 2009;21:414-23. [PMID: 20154510]
90. Waxmonsky JA, Giese AA, McGinnis GF, Reynolds RT, Abrahamson A, McKitterick ML, et al. Colorado access' enhanced care management for highcost, high-need Medicaid members: preliminary outcomes and lessons learned. J Ambul Care Manage. 2011;34:183-91. [PMID: 21415616]