ArticleAnnals of family medicine2010
Journey to the patient-centered medical home: a qualitative analysis of the experiences of practices in the National Demonstration Project.
Article in Annals of family medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 89 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
89 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
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- Evaluation of a web-based asthma self-management system: a randomised controlled pilot trial.BMC pulmonary medicine · 2015Trial
- Overcoming challenges to teamwork in patient-centered medical homes: a qualitative study.Journal of general internal medicine · 2015Trial
- How team-based reflection affects quality improvement implementation: a qualitative study.Quality management in health careTrial
- Practice facilitation to improve diabetes care in primary care: a report from the EPIC randomized clinical trial.Annals of family medicineTrial
- A Randomized Trial of High-Value Change Using Practice Facilitation.Journal of the American Board of Family Medicine : JABFMTrial
- Typical electronic health record use in primary care practices and the quality of diabetes care.Annals of family medicineTrial
- Grassroots development of interprofessional primary care teams: a qualitative study in Canadian family practices.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Article
- Population health in primary care.Frontiers in medicine · 2024Article
- How Type of Practice Ownership Affects Participation with Quality Improvement External Facilitation: Findings from EvidenceNOW.Journal of general internal medicine · 2022Article
- Quality and team care response to the pandemic stresses in high performing primary care practices: A qualitative study.PloS one · 2022Article
- Implementation of a patient centred medical home (PCMH) initiative in general practices in New South Wales, Australia.BMC family practice · 2021Article
- Practice Facilitation in Integrated Behavioral Health and Primary Care Settings: a Scoping Review.The journal of behavioral health services & research · 2021Article
- Eliciting and Understanding Primary Care and Specialist Mental Models of Cirrhosis Care: A Cognitive Task Analysis Study.Canadian journal of gastroenterology & hepatology · 2021Article
- Nationwide Qualitative Study of Practice Leader Perspectives on What It Takes to Transform into a Patient-Centered Medical Home.Journal of general internal medicine · 2020Article
- Practice level factors associated with enhanced engagement with practice facilitators; findings from the heart health now study.BMC health services research · 2020Article
- Leading Innovative Practice: Leadership Attributes in LEAP Practices.The Milbank quarterly · 2020Article
29 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
6 authors.
Funding
Abstract
purposeWe describe the experience of practices in transitioning toward patient-centered medical homes (PCMHs) in the National Demonstration Project (NDP).
methodsThe NDP was launched in June 2006 as the first national test of a model of the PCMH in a diverse sample of 36 family practices, randomized to facilitated and self-directed intervention groups. An independent evaluation team used a multimethod evaluation strategy, analyzing data from direct observation, depth interviews, e-mail streams, medical records, and patient and practice surveys. The evaluation team reviewed data from all practices as they became available and produced interim summaries. Four 2- to 3-day evaluation team retreats were held during which case summaries of all practices were discussed and patterns were described.
resultsThe 6 themes that emerged from the data reflect major shifts in individual and practice roles and identities, as well as changes in practices' management strategies. The themes are (1) practice adaptive reserve is critical to managing change, (2) developmental pathways to success vary considerably by practice, (3) motivation of key practice members is critical, (4) the larger system can help or hinder, (5) practice transformation is more than a series of changes and requires shifts in roles and mental models, and (6) practice change is enabled by the multiple roles that facilitators play.
conclusionsTransformation to a PCMH requires more than a sequence of discrete changes. The practice transformation process may be fostered by promoting adaptive reserve and local control of the developmental pathway.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.