Observational studyHealth services research2018
Patient-Centered Medical Home Implementation and Improved Chronic Disease Quality: A Longitudinal Observational Study.
Observational study in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
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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.
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Who cites it
27 citing papers in PubMed.
- Effectiveness of a Health Coaching Intervention for Patient-Family Dyads to Improve Outcomes Among Adults With Diabetes: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Protocol for VetASSIST: A randomized controlled trial to evaluate virtual peer health coaching for veterans with multimorbidity.Contemporary clinical trials · 2025Article
- Geriatrics-Focused vs Traditional Primary Care in the Veterans Affairs Health Care System.JAMA network open · 2025Article
- Sustainability of evidence-based primary care programs in Abu Dhabi: impact of COVID-19.Frontiers in health services · 2025Article
- Medical Home Implementation and Follow-Up of Cancer-Related Abnormal Test Results in the Veterans Health Administration.JAMA network open · 2024Article
- Findings from a Peer-Facilitated, Social Isolation Intervention in the Veterans Health Administration Healthcare System: A Mixed-Methods, Pilot Feasibility Study.Journal of general internal medicine · 2023Article
- Clinical Validity of the PROMIS Healthcare Engagement 8-Item Short Form.Journal of general internal medicine · 2023Article
- Evaluating the MyPath web-based reproductive decision support tool in VA primary care: Protocol for a pragmatic cluster randomized trial.Contemporary clinical trials · 2022Article
- Association of Integrated Mental Health Services with Physical Health Quality Among VA Primary Care Patients.Journal of general internal medicine · 2022Article
- Association of Team-Based Care and Continuity of Care with Hospitalizations for Veterans with Comorbid Mental and Physical Health Conditions.Journal of general internal medicine · 2022Article
- Building a better future for family physicians.Canadian family physician Medecin de famille canadien · 2021Article
- Article
- Development and Pilot Testing of a Patient-Centered Web-Based Reproductive Decision Support Tool for Primary Care.Journal of general internal medicine · 2021Article
- Factors Associated With Low-Value Cancer Screenings in the Veterans Health Administration.JAMA network open · 2021Article
- Implementation of social needs screening in primary care: a qualitative study using the health equity implementation framework.BMC health services research · 2021Article
- What Do Patient-Centered Medical Home (PCMH) Teams Need to Improve Care for Primary Care Patients with Complex Needs?Journal of general internal medicine · 2021Article
- Comparative Effectiveness of a Complex Care Program for High-Cost/High-Need Patients: a Retrospective Cohort Study.Journal of general internal medicine · 2021Article
- Aims, development, and early results of an interdisciplinary primary care initiative to address patient vulnerabilities.The American journal of drug and alcohol abuse · 2021Article
- Person-Centered Gerontological Nursing: An Overview Across Care Settings.Journal of gerontological nursing · 2021Review
- Association of Continuity of Care With Outcomes in US Veterans With Inflammatory Bowel Disease.JAMA network open · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo examine associations between clinics' extent of patient-centered medical home (PCMH) implementation and improvements in chronic illness care quality. DATA SOURCE: Data from 808 Veterans Health Administration (VHA) primary care clinics nationwide implementing the Patient Aligned Care Teams (PACT) PCMH initiative, begun in 2010.
designClinic-level longitudinal observational study of clinics that received training and resources to implement PACT. Clinics varied in the extent they had PACT components in place by 2012. DATA COLLECTION: Clinical care quality measures reflecting intermediate outcomes and care processes related to coronary artery disease (CAD), diabetes, and hypertension care were collected by manual chart review at each VHA facility from 2009 to 2013.
findingsIn adjusted models containing 808 clinics, the 77 clinics with the most PACT components in place had significantly larger improvements in five of seven chronic disease intermediate outcome measures (e.g., BP < 160/100 in diabetes), ranging from 1.3 percent to 5.2 percent of the patient population meeting measures, and two of eight process measures (HbA1c measurement, LDL measurement in CAD) than the 69 clinics with the least PACT components. Clinics with moderate levels of PACT components showed few significantly larger improvements than the lowest PACT clinics.
conclusionsVeterans Health Administration primary care clinics with the most PCMH components in place in 2012 had greater improvements in several chronic disease quality measures in 2009-2013 than the lowest PCMH clinics.
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