ArticleAnnals of family medicine2010
Summary of the National Demonstration Project and recommendations for the patient-centered medical home.
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 106 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
106 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Reviewing cancer care team effectiveness.Journal of oncology practice · 2015Pooled it
- Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Project.Medical care · 2017Trial
- Trial
- Trial
- The 5As team intervention: bridging the knowledge gap in obesity management among primary care practitioners.BMC research notes · 2015Trial
- A real-world stepped wedge cluster randomized trial of practice facilitation to improve cardiovascular care.Implementation science : IS · 2015Trial
- Supporting Practices to Adopt Registry-Based Care (SPARC): protocol for a randomized controlled trial.Implementation science : IS · 2015Trial
- Integrated IMR for psychiatric and general medical illness for adults aged 50 or older with serious mental illness.Psychiatric services (Washington, D.C.) · 2014Trial
- A randomized, controlled trial of implementing the patient-centered medical home model in solo and small practices.Journal of general internal medicine · 2013Trial
- Meeting the challenge of practice quality improvement: a study of seven family medicine residency training practices.Academic medicine : journal of the Association of American Medical Colleges · 2011Trial
- Typical electronic health record use in primary care practices and the quality of diabetes care.Annals of family medicineTrial
- Interactive preventive health record to enhance delivery of recommended care: a randomized trial.Annals of family medicineTrial
- Article
- Nurturing an organizational context that supports team-based primary mental health care: A grounded theory study.PloS one · 2024Article
- The Role of Primary Care in Improving Population Health.The Milbank quarterly · 2023Article
- Organizational Factors Associated with Guideline Concordance of Chronic Disease Care and Management Practices.Journal of the American Board of Family Medicine : JABFM · 2022Article
- Does improving indoor air quality lessen symptoms associated with chemical intolerance?Primary health care research & development · 2022Article
- Quality and team care response to the pandemic stresses in high performing primary care practices: A qualitative study.PloS one · 2022Article
- Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations.International journal of environmental research and public health · 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
46 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
This article summarizes findings from the National Demonstration Project (NDP) and makes recommendations for policy makers and those implementing patient-centered medical homes (PCMHs) based on these findings and an understanding of diverse efforts to transform primary care. The NDP was launched in June 2006 as the first national test of a particular PCMH model in a diverse sample of 36 family practices, randomized to facilitated or self-directed groups. An independent evaluation team used a multimethod evaluation strategy, analyzing data from direct observation, depth interviews, e-mail streams, medical record audits, and patient and clinical staff surveys. Peer-reviewed manuscripts from the NDP provide answers to 4 key questions: (1) Can the NDP model be built? (2) What does it take to build the NDP model? (3) Does the NDP model make a difference in quality of care? and (4) Can the NDP model be widely disseminated? We find that although it is feasible to transform independent practices into the NDP conceptualization of a PCMH, this transformation requires tremendous effort and motivation, and benefits from external support. Most practices will need additional resources for this magnitude of transformation. Recommendations focus on the need for the PCMH model to continue to evolve, for delivery system reform, and for sufficient resources for implementing personal and practice development plans. In the meantime, we find that much can be done before larger health system reform.
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Registered trials
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.