ArticleJournal of the American Board of Family Medicine : JABFM
Facilitators and Barriers to Care Coordination in Patient-centered Medical Homes (PCMHs) from Coordinators' Perspectives.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- Systematic Review of Care Coordination Interventions Linking Health and Social Services for High-Utilizing Patient Populations.Population health management · 2022Pooled it
- Organization of Community Mental Health Services for Persons with a Severe Mental Illness and Comorbid Somatic Conditions: A Systematic Review on Somatic Outcomes and Health Related Quality of Life.International journal of environmental research and public health · 2021Pooled it
- Overcoming Barriers to Integrating Behavioral Health and Primary Care Services.Journal of primary care & community health · 2016Pooled it
- Care Coordination and Hospitalization in Older Adults With or at Risk for Cardiovascular Disease: A Randomized Clinical Trial.JAMA network open · 2026Trial
- Comparative Effectiveness of Two Methods for Assigning Care Coordinators to People Living With Dementia.Journal of the American Geriatrics Society · 2025Trial
- Trial
- Factors Affecting Medical Appointment Adherence among Adolescents and Young Adults with Kidney Disease: A Longitudinal Cohort Study.Journal of pediatrics. Clinical practice · 2026Article
- Burnout Risk Among Providers of an Integrated Care Program Supporting Transitions Between the Hospital and Home: A Descriptive Mixed Methods Evaluation.International journal of environmental research and public health · 2026Article
- Community Health Worker-Integrated Model for Sickle Cell Disease Management: Protocol for a Feasibility Study.JMIR research protocols · 2026Article
- How Community-Based Health and Social Care Professionals Support Unpaid Caregivers: Experiences From One Health Authority in Ontario, Canada.Qualitative health research · 2024Article
- Coordinated Care Experiences Among Middle-Aged and Older Adults With Multiple Chronic Conditions: Characteristics, Correlates, and Consequences for Health and Healthcare Utilization.The Gerontologist · 2024Observational
- Challenges of care coordination for complex patients among family medicine residents in a community ambulatory clinic: a qualitative study.BMC medical education · 2024Article
- People-centred primary health care: a scoping review.BMC primary care · 2023Article
- Review
- Improving coordination of lung cancer care at a tertiary healthcare center in Saudi Arabia.Saudi medical journal · 2022Article
- Feasibility of deploying peer coaches to mentor frontline home health aides and promote mobility among individuals recovering from a stroke: pilot test of a randomized controlled trial.Pilot and feasibility studies · 2022Article
- Primary care physicians' electronic health record proficiency and efficiency behaviors and time interacting with electronic health records: a quantile regression analysis.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Factors that Influence Co-production among Student Interns, Consumers, and Providers of Social and Public Health Services: Implications for Interprofessional Collaboration and Training.Social work in public health · 2022Article
- Quality and team care response to the pandemic stresses in high performing primary care practices: A qualitative study.PloS one · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundCare coordinators are increasingly featured in patient-centered medical home (PCMH) projects, yet little research examines how coordinators themselves define and experience their role. This is the first study describing experiences of care coordinators across the US from their own perspectives.
methodsThis qualitative study used a 5-month private, online discussion forum to gather data from 25 care coordinators from PCMH practices representing diversity in practice size, setting, and type. Participants answered questions and interacted with one another, creating an online social learning collaborative while allowing for data collection for research.
resultsCoordinators identified barriers and facilitators in their work at the organization/system level, the interpersonal level, and the individual level. Some factors emerged as both barriers and facilitators, including the functionality of clinical information technology; the availability of community resources; interactions with clinicians and other health care facilities; interactions with patients; and self-care practices for mental health and wellness. Colocation and full integration into practices were other key facilitators, whereas excessive case loads and data management responsibilities were felt to be important barriers.
conclusionsWhile all the barriers and facilitators were important to performing coordinators' roles, relationship building materialized as key to effective care coordination, whether with clinicians, patients, or outside organizations. We discuss implications for practice and provide suggestions for further research.
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