Article Figures & Data
Tables
Recommendation Evidence Rating References Comments Patients who have a continuity relationship with a personal care physician have better health process measures and outcomes. 1 23,34,41,47,52 Continuity is most commonly associated with primary care, but cancer care, dialysis, and diabetes care are examples of specialty continuity. Multiple visits over time with the same provider create renewed opportunities to build management and teaching strategies tailored to individual progress and receptivity. 2 24,25,38,39,46,49,54,55 Neither primary care nor specialty care can meet their full potential if provided in a vacuum. All studies are challenged to evaluate any piece of the system in isolation from the context of specialty or other community services. Minorities become as likely as non-minorities to receive preventive screening and have their chronic conditions well managed in a medical home model. 2 19,20,22,26,27 Rigorous program evaluations, secondary population analyses, and observational comparison studies show consistent findings. In primary care, patients present at most visits with multiple problems. 1 06, 64,65 The use of each office visit to care for multiple problems is a property of primary care. Specialists generate more diagnostic hypotheses within their domain than outside and assign higher probabilities to diagnoses within that domain. 2 73,74 The interface between primary care and specialty care needs further research. The more attributes of the medical home demonstrated by a primary care practice, the more likely patients are to be up to date on screening, immunizations, and health habit counseling, and the less likely they are to use emergency rooms. 2 28,29,94,95,106,107,121 1 = consistent, good quality evidence; 2 = limited quality, patient-oriented evidence; 3 = consensus, usual practice, expert opinion, or case series.30
In this issue
Jump to section
Related Articles
Cited By...
- Answering the "100 Most Important Family Medicine Research Questions" from the 1985 Hames Consortium
- Trends in patient attachment to an aging primary care workforce: a population-based serial cross-sectional study in Ontario, Canada
- How Does Prior Experience Pay Off in Large-Scale Quality Improvement Initiatives?
- Study protocol: primary healthcare transformation through patient-centred medical homes--improving access, relational care and outcomes in an urban Aboriginal and Torres Strait Islander population, a mixed methods prospective cohort study
- How Does Prior Experience Pay Off in Large-Scale Quality Improvement Initiatives?
- Transforming primary care for older Canadians living with frailty: mixed methods study protocol for a complex primary care intervention
- General practitioners perceptions of best practice care at the end of life: a qualitative study
- What adults with intellectual and developmental disabilities say they need to access annual health examinations: System navigation support and person-centred care
- "It's Really Overwhelming": Patient Perspectives on Care Coordination
- Integrating Community Health Workers Into Medical Homes
- Pharmacists supporting population health in patient-centered medical homes
- Access to Primary Care Appointments Following 2014 Insurance Expansions
- Visit Entropy Associated with Hospital Readmission Rates
- Prescribing pharmacists in the ambulatory care setting: Experience at the University of North Carolina Medical Center
- Effects of New Funding Models for Patient-Centered Medical Homes on Primary Care Practice Finances and Services: Results of a Microsimulation Model
- Family Medicine Research That Provides Compelling, Urgent Data to Improve Patient Care
- Are We Learning More about Patient-centered Medical Homes (PCMHs), or Learning More about Primary Care?
- Community Oncology Medical Homes: Physician-Driven Change to Improve Patient Care and Reduce Costs
- Implementing Evidence-Based Guidelines: The Role of Ambulatory Care Pharmacists
- Enriching Patient-Centered Medical Homes Through Peer Support
- Patient-Centered Medical Homes In Louisiana Had Minimal Impact On Medicaid Population's Use Of Acute Care And Costs
- Do Experiences Consistent With a Medical-Home Model Improve Diabetes Care Measures Reported by Adult Medicaid Patients?
- Health Care Utilization From Chemotherapy-Related Adverse Events Among Low-Income Breast Cancer Patients: Effect of Enrollment in a Medical Home Program
- Challenges of Medical Home Transformation Reported by 118 Patient-Centered Medical Home (PCMH) Leaders
- The Future Role of the Family Physician in the United States: A Rigorous Exercise in Definition
- Patient-Centered Medical Home (PCMH) Recognition: A Time for Promoting Innovation, Not Measuring Standards
- Racial Comparisons of Diabetes Care and Intermediate Outcomes in a Patient-Centered Medical Home
- Strategies for Achieving Whole-Practice Engagement and Buy-in to the Patient-Centered Medical Home
- Practice Facilitation to Improve Diabetes Care in Primary Care: A Report From the EPIC Randomized Clinical Trial
- Effects of Patient-Centered Medical Home Attributes on Patients' Perceptions of Quality in Federally Supported Health Centers
- Innovations in Diabetes Care From One of America's Most Wired Communities: Effects of an Electronic Emergency Department/Admission Alert System in Cincinnati, Ohio
- Breaking boundaries: reinventing general practice for the 21st century
- Natural History of Practice Transformation: Development and Initial Testing of an Outcomes-Based Model
- Survey Of 5 European Countries Suggests That More Elements Of Patient-Centered Medical Homes Could Improve Primary Care
- Use of a Website to Accomplish Health Behavior Change: If You Build It, Will They Come? And Will It Work If They Do?
- Primary Care Physician Shortages Could Be Eliminated Through Use Of Teams, Nonphysicians, And Electronic Communication
- Results From A Patient-Centered Medical Home Pilot At UPMC Health Plan Hold Lessons For Broader Adoption Of The Model
- Implementing and Evaluating Electronic Standing Orders in Primary Care Practice: A PPRNet Study
- Are Pediatric Quality Care Measures Too Stringent?
- Horizon's Patient-Centered Medical Home Program Shows Practices Need Much More Than Payment Changes To Transform
- Care for Patients with Chronic Nonmalignant Pain with and without Chronic Opioid Prescriptions: A Report from the Cincinnati Area Research Group (CARinG) Network
- Patient-centered medical home: Developing, expanding, and sustaining a role for pharmacists
- Implementing Teams in a Patient-Centered Medical Home Residency Practice: Lessons Learned
- Receipt of Diabetes Preventive Care Among Safety Net Patients Associated with Differing Levels of Insurance Coverage
- Roles of the Pharmacy Academy in Informing Consumers about the New American Pharmacist: 2010-2011 Argus Commission Report
- Trends in Quality During Medical Home Transformation
- Electronic Health Records vs Medicaid Claims: Completeness of Diabetes Preventive Care Data in Community Health Centers
- Preventive Service Gains from First Contact Access in the Primary Care Home
- Interdisciplinary Team Care for Diabetic Patients by Primary Care Physicians, Advanced Practice Nurses, and Clinical Pharmacists
- Integrating medication therapy management in the primary care medical home: A review of randomized controlled trials
- Implications of Reassigning Patients for the Medical Home: A Case Study
- The Words We Use, the Procedures We Do, and How We Change (Medical Care Information for Family Physicians)
- It Takes Two: Using Coleaders to Champion Improvements in Small Primary Care Practices
- Why The Nation Needs A Policy Push On Patient-Centered Health Care
- Effect of Facilitation on Practice Outcomes in the National Demonstration Project Model of the Patient-Centered Medical Home
- Summary of the National Demonstration Project and Recommendations for the Patient-Centered Medical Home
- Content Usage and the Most Frequently Read Articles in 2009
- Policy Challenges in Building the Medical Home: Do We Have a Shared Blueprint?
- Methods for Evaluating Practice Change Toward a Patient-Centered Medical Home
- Journey to the Patient-Centered Medical Home: A Qualitative Analysis of the Experiences of Practices in the National Demonstration Project
- Features of the Chronic Care Model (CCM) Associated with Behavioral Counseling and Diabetes Care in Community Primary Care
- The Growth Of Retail Clinics And The Medical Home: Two Trends In Concert Or In Conflict?
- Treating Cervical Dysplasia: Why Does It Matter?
- Psychosocial Correlates of Insomnia Severity in Primary Care
- Response: Re: Interventions to Improving Osteoporosis Screening: an Iowa Research Network (IRENE) Study
- The Use of Telephonic Case Management to Link a Special-Needs Population with a Primary Care Physician
- Elements of the Patient-Centered Medical Home in Family Practices in Virginia
- Providing Quality Primary Care to Older Adults
- Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home
- TOP Docs: Family Physicians with Competing Demands and the Right Priorities--Individual, Family, and Community Health
- Optimism: A Good Theme for Family Medicine
- The Medical Home, Health Services, and Clinical Family Medicine Research
- The Patient-Centered Medical Home Movement--Promise and Peril for Family Medicine