ArticleJournal of general internal medicine2020
Association of the Implementation of the Patient-Centered Medical Home with Quality of Life in Patients with Multimorbidity.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 25 citations in OpenAlex.
- Automatic medication refills to improve glycaemic control among patients with diabetes and low medication adherence.BMJ open quality · 2023Trial
- Patient-Centred Care for Multimorbid Patients: A Scoping Review.Journal of clinical medicine · 2026Review
- Association between team functioning and self-efficacy and quality of life for primary care patients in British Columbia, Nova Scotia, and Ontario.Primary health care research & development · 2026Article
- Improving Clinical Patient Activation and Strengthening Health Outcomes: Findings from a Quasi-Experimental Study.Journal of clinical medicine · 2025Article
- Protocol for VetASSIST: A randomized controlled trial to evaluate virtual peer health coaching for veterans with multimorbidity.Contemporary clinical trials · 2025Article
- Article
- "You Think We are in the Stone Age, but We Have Already Made Progress-Where are You?": A Qualitative Study of Ultra-orthodox Women's Telemedicine Service Usage in Israel.Journal of religion and health · 2025Article
- Barriers and Enablers to Implementing Peer Specialists in Veterans Health Administration Primary Care: a Qualitative Study.Journal of general internal medicine · 2023Article
- My Goals Are Not Their Goals: Barriers and Facilitators to Delivery of Patient-Centered Care for Patients with Multimorbidity.Journal of general internal medicine · 2022Article
- Mental health care integration and primary care patient experience in the Veterans Health Administration.Healthcare (Amsterdam, Netherlands) · 2021Article
- Impact of a patient-centered medical home demonstration on quality of life and patient activation for older adults with complex needs in Singapore.BMC geriatrics · 2021Article
- Age differences in the association of comorbid burden with adverse outcomes in SARS-CoV-2.BMC geriatrics · 2021Article
- Changes in health-related quality of life before and after a 12-month enhanced primary care model among chronically ill primary care patients in Australia.Health and quality of life outcomes · 2020Article
- Factors Associated With Patient-Centered Medical Home Teams' Use of Resources for Identifying and Approaches for Managing Patients With Complex Needs.The Journal of ambulatory care managementArticle
- Reasons Older Veterans Use the Veterans Health Administration and Non-VHA Care in an Urban Environment.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe patient-centered medical home (PCMH) has clinical benefits for chronic disease care, but the association with patient-reported outcomes such as health-related quality of life (HRQoL) is unexplored in patients with multimorbidity (two or more chronic diseases).
objectiveTo examine if greater clinic-level PCMH implementation was associated with higher HRQoL in multimorbid adults.
designA retrospective cohort study.
participantsTwenty-two thousand ninety-five multimorbid patients who received primary care at 944 Veterans Health Administration (VHA) clinics. MAIN MEASURES: Our exposure was the Patient Aligned Care Team Implementation Progress Index (PI
resultsThe cohort average age was 68 years, mostly male (96%), and had an average of 4.4 chronic diagnoses. Compared with patients seen at the lowest scoring clinics for PCMH implementation, care in the highest scoring clinics was associated with a higher adjusted marginal mean PCS (42.3 (95% CI 41.3-43.4) versus 40.3 (95% CI 39.1-41.5), P = 0.01), but a lower MCS (35.2 (95% CI 34.4-36.1) versus 36.0 (95% CI 35.3-36.8), P = 0.17). Patients with prior hospitalizations seen in clinics with higher compared with lower PI
conclusionsMultimorbid patients seen in clinics with greater PCMH implementation reported higher physical HRQoL, but lower mental HRQoL. The association between PCMH implementation and mental HRQoL may depend on complex interactions with disease severity and prior hospitalizations.
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