ArticleAnnals of family medicine
Recognition as a patient-centered medical home: fundamental or incidental?
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 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
12 citing papers in PubMed.
- Relationship-focused vs. Structural Activities in Medical Home Measurement in Pediatrics.Maternal and child health journal · 2018Article
- Pathways to Medical Home Recognition: A Qualitative Comparative Analysis of the PCMH Transformation Process.Health services research · 2018Article
- Implementation of Care Management: An Analysis of Recent AHRQ Research.Medical care research and review : MCRR · 2018Article
- Patient-Centered Care in Small Primary Care Practices in New York City: Recognition Versus Reality.Journal of primary care & community health · 2017Article
- Capsule Commentary on Timbie et al., Association Between Patient-Centered Medical Home Capabilities and Outcomes for Medicare Beneficiaries Seeking Care from Federally Qualified Health Centers.Journal of general internal medicine · 2017Article
- Features of Patient-Centered Primary Care and the Use of Ambulatory Care.Population health management · 2017Article
- Shared Medical Appointments: A Promising Innovation to Improve Patient Engagement and Ease the Primary Care Provider Shortage.Population health management · 2016Article
- Minnesota's Early Experience with Medical Home Implementation: Viewpoints from the Front Lines.Journal of general internal medicine · 2015Article
- Capsule commentary on O'Malley et al., overcoming challenges to teamwork in patient-centered medical homes: a qualitative study.Journal of general internal medicine · 2015Article
- Leveraging electronic health records to develop measurements for processes of care.Health services research · 2014Article
- Implementation and Sequencing of Practice Transformation in Urban Practices with Underserved Patients.Quality management in health careArticle
- The Politics of Primary Care Expansion: Lessons From Cancer Survivorship and Substance Abuse.Journal of healthcare management / American College of Healthcare ExecutivesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
purposeLittle is known about reasons why a medical group would seek recognition as a patient-centered medical home (PCMH). We examined the motivations for seeking recognition in one group and assessed why the group allowed recognition to lapse 3 years later.
methodsAs part of a larger mixed methods case study, we conducted 38 key informant interviews with executives, clinicians, and front-line staff. Interviews were conducted according to a guide that evolved during the project and were audio-recorded and fully transcribed. Transcripts were analyzed and thematically coded.
resultsPCMH principles were consistent with the organization's culture and mission, which valued innovation and putting patients first. Motivations for implementing specific PCMH components varied; some components were seen as part of the organization's patient-centered culture, whereas others helped the practice compete in its local market. Informants consistently reported that National Committee for Quality Assurance recognition arose incidentally because of a 1-time incentive from a local group of large employers and because the organization decided to allocate some organizational resources to respond to the complex reporting requirements for about one-half of its clinics.
conclusionsBecoming patient centered and seeking recognition as such ran along separate but parallel tracks within this organization. As the Affordable Care Act continues to focus attention on primary care redesign, this apparent disconnect should be borne in mind.
Indexed as
Identifiers
What OpenQuestion holds
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.