Evidence map›Paper›PMID 22829295›Full record

ArticleJournal of general internal medicine2013

The patient-centered medical home: an ethical analysis of principles and practice.

Clarence H Braddock, Lois Snyder, Richard L Neubauer, Gary S Fischer, American College of Physicians Ethics, Professionalism and Human Rights Committee and The Society of General Internal Medicine Ethics Committee

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Ethical challenges come home.Journal of general internal medicine · 2013
    Article
  10. Innovation and inauguration.Journal of general internal medicine · 2013
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Clarence H BraddockStanford School of Medicine, Stanford, USA.
Lois Snyder
Richard L Neubauer
Gary S Fischer
American College of Physicians Ethics, Professionalism and Human Rights Committee and The Society of General Internal Medicine Ethics Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The patient-centered medical home (PCMH), with its focus on patient-centered care, holds promise as a way to reinvigorate the primary care of patients and as a necessary component of health care reform. While its tenets have been the subject of review, the ethical dimensions of the PCMH have not been fully explored. Consideration of the ethical foundations for the core principles of the PCMH can and should be part of the debate concerning its merits. The PCMH can align with the principles of medical ethics and potentially strengthen the patient-physician relationship and aspects of health care that patients value. Patient choice and these ethical considerations are central and at least as important as the economic and practical arguments in support of the PCMH, if not more so. Further, the ethical principles that support key concepts of the PCMH have implications for the design and implementation of the PCMH. This paper explores the PCMH in light of core principles of ethics and professionalism, with an emphasis both on how the concept of the PCMH may reinforce core ethical principles of medical practice and on further implications of these principles.

Indexed as

Ethics, MedicalHealth Care ReformHumansPatient-Centered CarePhysician-Patient RelationsPrimary Health Care

Identifiers

PMID22829295
PMCPMC3539020

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.