RT Journal Article SR Electronic T1 Higher Referrals for Diabetes Education in a Medical Home Model of Care JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 377 OP 384 DO 10.3122/jabfm.2016.03.150370 VO 29 IS 3 A1 Manard, William T. A1 Syberg, Kevin A1 Behera, Anit A1 Salas, Joanne A1 Schneider, F. David A1 Armbrecht, Eric A1 Hooks-Anderson, Denise A1 Crannage, Erica A1 Scherrer, Jeffrey YR 2016 UL http://www.jabfm.org/content/29/3/377.abstract AB Background: The medical home model has been gaining attention from the health care community as a strategy for improved outcomes for management of chronic disease, including diabetes. The purpose of this study was to compare referrals for diabetes education among patients receiving care from a medical home model versus a traditional practice.Methods: Data were obtained from a large, university-affiliated primary care patient data registry. All patients (age 18–96 years) with a diagnosis of prediabetes or diabetes and seen by a physician at least twice during 2011 to 2013 were selected for inclusion. Multivariate regression models measuring the association between medical home status and referral to diabetes education were computed before and after adjusting for covariates.Results: A significantly (P < .001) higher percentage of patients in a medical home than without a medical home (23.9% vs 13.5%) received a referral for diabetes education. After adjusting for covariates, medical home patients were 2.7 times more likely to receive a referral for diabetes education (odds ratio, 2.70; 95% confidence interval, 1.69–4.35).Conclusion: Patients in a medical home model were more likely to receive referrals for diabetes education than patients in a standard university-affiliated family medicine practice. Future longitudinal designs that match characteristics of patients with a medical home with those of patients without one will provide strong evidence to determine whether referral to diabetes education is a result of the medical home model of care independent of confounding factors.