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Cited by 472

The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.

Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home

Open access
Nutting, P. A., Miller, W. L., Crabtree, B. F., Jaen, C. R., Stewart, E. E., Stange, K. C.·2009·The Annals of Family Medicine
DOI 10.1370/afm.1002
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Abstract

The patient-centered medical home (PCMH) is emerging as a potential catalyst for multiple health care reform efforts. Demonstration projects are beginning in nearly every state, with a broad base of support from employers, insurers, state and federal agencies, and professional organizations. A sense of urgency to show the feasibility of the PCMH, along with a 3-tiered recognition process of the National Committee on Quality Assurance, are influencing the design and implementation of many demonstrations. In June 2006, the American Academy of Family Physicians launched the first National Demonstration Project (NDP) to test a model of the PCMH in a diverse national sample of 36 family practices. The authors make up an independent evaluation team for the NDP that used a multimethod evaluation strategy, including direct observation, in-depth interviews, chart audit, and patient and practice surveys. Early lessons from the real-time qualitative analysis of the NDP raise some serious concerns about the current direction of many of the proposed PCMH demonstration projects and point to some positive opportunities. We describe 6 early lessons from the NDP that address these concerns and then offer 4 recommendations for those assisting the transformation of primary care practices and 4 recommendations for individual practices attempting transformation.

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Metadata

Authors
Nutting, P. A., Miller, W. L., Crabtree, B. F., Jaen, C. R., Stewart, E. E., & Stange, K. C.
Venue
The Annals of Family Medicine
Publisher
Annals of Family Medicine
Published
2009-05-01
Volume
7
Issue
3
Pages
254-260
ISSN
  • 1544-1709 (ISSN-L)
  • 1544-1717
DOI
10.1370/afm.1002
OpenAlex
W2108883347
Cited by
472
References
31
FWCI
108.47
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home. https://app.cochat.ai/papers/10.1370/afm.1002
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Nutting, P. A., Miller, W. L., Crabtree, B. F., Jaen, C. R., Stewart, E. E., & Stange, K. C. (2009). Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home. The Annals of Family Medicine. https://doi.org/10.1370/afm.1002

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.