ArticleHealth affairs (Project Hope)2017
Synthesis Of Research On Patient-Centered Medical Homes Brings Systematic Differences Into Relief.
Article in Health affairs (Project Hope), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03826758 (E-DYNAMIC - Enhanced Dynamic Clinical Decision Support to Identify Patients With Chronic Kidney Disease and Improve Cardiovascular Health), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled 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.
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.
E-DYNAMIC - Enhanced Dynamic Clinical Decision Support to Identify Patients With Chronic Kidney Disease and Improve Cardiovascular Health
Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Effects of goal-oriented care for adults with multimorbidity: A systematic review and meta-analysis.Journal of evaluation in clinical practice · 2022Pooled it
- ActionHealthNYC: Effectiveness of a Health Care Access Program for the Uninsured, 2016-2017.American journal of public health · 2021Trial
- Effectiveness of Implementing a Collaborative Chronic Care Model for Clinician Teams on Patient Outcomes and Health Status in Mental Health: A Randomized Clinical Trial.JAMA network open · 2019Trial
- Family Physicians' Views of Who They Are Accountable To and Current Quality Metrics.JAMA network open · 2026Article
- Article
- Integration of Endodontic Services Into Preventive Oral Health Care: A Narrative Review.International journal of dentistry · 2026Review
- Continuity of Care in Federally Qualified Health Centers: Examining Patient-Provider Relationships and Patient Centered Medical Home Recognition.Journal of the American Board of Family Medicine : JABFM · 2025Article
- The impact of a payer-provider joint venture on healthcare value.Health services research · 2025Article
- Sustainability of evidence-based primary care programs in Abu Dhabi: impact of COVID-19.Frontiers in health services · 2025Article
- Overcoming silos in health care systems through meso-level organisations - a case study of health reforms in New South Wales, Australia.The Lancet regional health. Western Pacific · 2024Review
- The Comprehensive Primary Care Plus Model and Health Care Spending, Service Use, and Quality.JAMA · 2024Article
- A flexible approach to measure care coordination based on patient-sharing networks.BMC medical research methodology · 2024Article
- Expanding general practice with interprofessional teams: a mixed-methods patient perspective study.BMC health services research · 2023Article
- Racial-Ethnic Composition of Primary Care Practices and Comprehensive Primary Care Plus Initiative Participation.Journal of general internal medicine · 2023Article
- The Association of Teamlets and Teams with Physician Burnout and Patient Outcomes.Journal of general internal medicine · 2023Observational
- Contributions of Key Components of a Medical Home on Child Health Outcomes.Maternal and child health journal · 2023Article
- Using a theoretical framework to inform implementation of the patient-centred medical home (PCMH) model in primary care: protocol for a mixed-methods systematic review.Systematic reviews · 2022Article
- The Medical Home Initiative in Italy: an Analysis of Changes in Healthcare Utilization.Journal of general internal medicine · 2022Article
- Geographic proximity to primary care providers as a risk-assessment criterion for quality performance measures.PloS one · 2022Article
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
The patient-centered medical home (PCMH) model emphasizes comprehensive, coordinated, patient-centered care, with the goals of reducing spending and improving quality. To evaluate the impact of PCMH initiatives on utilization, cost, and quality, we conducted a meta-analysis of methodologically standardized findings from evaluations of eleven major PCMH initiatives. There was significant heterogeneity across individual evaluations in many outcomes. Across evaluations, PCMH initiatives were not associated with changes in the majority of outcomes studied, including primary care, emergency department, and inpatient visits and four quality measures. The initiatives were associated with a 1.5 percent reduction in the use of specialty visits and a 1.2 percent increase in cervical cancer screening among all patients, and a 4.2 percent reduction in total spending (excluding pharmacy spending) and a 1.4 percent increase in breast cancer screening among higher-morbidity patients. These associations were significant. Identification of the components of PCMHs likely to improve outcomes is critical to decisions about investing resources in primary care.
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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.