ArticleMedical care2011
Evaluation of patient centered medical home practice transformation initiatives.
Article in Medical care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
36 citing papers in PubMed.
- Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Project.Medical care · 2017Trial
- Dissemination of a telehealth cardiovascular risk service: The CVRS live protocol.Contemporary clinical trials · 2021Article
- Are health systems redesigning how health care is delivered?Health services research · 2020Article
- Leading Innovative Practice: Leadership Attributes in LEAP Practices.The Milbank quarterly · 2020Article
- Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives.Journal of clinical medicine · 2018Article
- Uncovering the wisdom hidden between the lines: the Collaborative Reflexive Deliberative Approach.Family practice · 2018Article
- Team-Based Care with Pharmacists to Improve Blood Pressure: a Review of Recent Literature.Current hypertension reports · 2018Review
- What matters in patient-centered medical home transformation: Whole system evaluation outcomes of the Brown Primary Care Transformation Initiative.SAGE open medicine · 2018Article
- Feasibility and Acceptability of a Colocated Homeless-Tailored Primary Care Clinic and Emergency Department.Journal of primary care & community health · 2017Article
- Impact of a primary healthcare quality improvement program on diabetes in Canada: evaluation of the Quality Improvement and Innovation Partnership (QIIP).BMJ open diabetes research & care · 2017Article
- Obstacles Experienced by Care Managers in Managing Information for the Care of Chronically Ill Patients.International journal of human-computer interaction · 2017Article
- Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project.Health services research · 2016Article
- Breast and prostate cancer survivors' experiences of patient-centered cancer follow-up care from primary care physicians and oncologists.Journal of cancer survivorship : research and practice · 2016Article
- Case study of evaluations that go beyond clinical outcomes to assess quality improvement diabetes programmes using the Diabetes Evaluation Framework for Innovative National Evaluations (DEFINE).Journal of evaluation in clinical practice · 2016Article
- Effect of care management program structure on implementation: a normalization process theory analysis.BMC health services research · 2016Article
- A Comparison of Health Plan- and Provider-Delivered Chronic Care Management Models on Patient Clinical Outcomes.Journal of general internal medicine · 2016Article
- Recent Developments in Alcohol Services Research on Access to Care.Alcohol research : current reviews · 2016Review
- Understanding effective care management implementation in primary care: a macrocognition perspective analysis.Implementation science : IS · 2015Article
- Lung cancer care: the impact of facilities and area measures.Translational lung cancer research · 2015Review
- Care coordination over time in medical homes for children with special health care needs.Pediatrics · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
backgroundThe patient-centered medical home (PCMH) has become a widely cited solution to the deficiencies in primary care delivery in the United States. To achieve the magnitude of change being called for in primary care, quality improvement interventions must focus on whole-system redesign, and not just isolated parts of medical practices.
methodsInvestigators participating in 9 different evaluations of Patient Centered Medical Home implementation shared experiences, methodological strategies, and evaluation challenges for evaluating primary care practice redesign.
resultsA year-long iterative process of sharing and reflecting on experiences produced consensus on 7 recommendations for future PCMH evaluations: (1) look critically at models being implemented and identify aspects requiring modification; (2) include embedded qualitative and quantitative data collection to detail the implementation process; (3) capture details concerning how different PCMH components interact with one another over time; (4) understand and describe how and why physician and staff roles do, or do not evolve; (5) identify the effectiveness of individual PCMH components and how they are used; (6) capture how primary care practices interface with other entities such as specialists, hospitals, and referral services; and (7) measure resources required for initiating and sustaining innovations.
conclusionsBroad-based longitudinal, mixed-methods designs that provide for shared learning among practice participants, program implementers, and evaluators are necessary to evaluate the novelty and promise of the PCMH model. All PCMH evaluations should as comprehensive as possible, and at a minimum should include a combination of brief observations and targeted qualitative interviews along with quantitative measures.
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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.