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Cited by 699Primary Care and Health OutcomesChronic Disease Management StrategiesHealthcare Systems and Technology

The DOI matches its Crossref record; 82 of the 82 references it cites were found in a registry or an index.

The Patient-Centered Medical Home: A Systematic Review

Jackson, George L., Powers, Benjamin J., Chatterjee, Ranee, Prvu Bettger, Janet, Kemper, Alex R., Hasselblad, Vic, Dolor, Rowena J., Irvine, R. Julian, Heidenfelder, Brooke L., Kendrick, Amy S., Gray, Rebecca, Williams, John W.·2013·Annals of Internal Medicine
DOI 10.7326/0003-4819-158-3-201302050-00579
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Abstract

BACKGROUND: The patient-centered medical home (PCMH) describes mechanisms for organizing primary care to provide high quality care across the full range of individuals' health care needs.It is being widely implemented by provider organizations and third party payers. PURPOSE: To describe approaches for PCMH implementation and summarize evidence for effects on patient and staff experiences,process of care, and clinical and economic outcomes. DATA SOURCES: PubMed (through 6 December 2011), Cumulative Index to Nursing & Allied Health Literature, and the Cochrane Database of Systematic Reviews (through 29 June 2012). STUDY SELECTION: English-language trials and longitudinal observational studies that met criteria for the PCMH, as defined by the Agency for Healthcare Research and Quality, and included populations with multiple conditions. DATA EXTRACTION: Information on study design, populations, interventions,comparators, financial models, implementation methods,outcomes, and risk of bias were abstracted by 1 investigator and verified by another. DATA SYNTHESIS: In 19 comparative studies, PCMH interventions had a small positive effect on patient experiences and small to moderate positive effects on the delivery of preventive care services(moderate strength of evidence). Staff experiences were also improved by a small to moderate degree (low strength of evidence).Evidence suggested a reduction in emergency department visits(risk ratio [RR], 0.81 [95% CI, 0.67 to 0.98]) but not in hospital admissions (RR, 0.96 [CI, 0.84 to 1.10]) in older adults (low strength of evidence). There was no evidence for overall cost savings. LIMITATION: Systematic review is challenging because of a lack of consistent definitions and nomenclature for PCMH. CONCLUSION: The PCMH holds promise for improving the experiences of patients and staff and potentially for improving care processes,but current evidence is insufficient to determine effects on clinical and most economic outcomes

Overview

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Crossref · 10.7326/0003-4819-158-3-201302050-00579

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Research works printed but not linked: 7

  1. Hebert R, 2003, Can Fam Physician, 49, 992
  2. Reid RJ, 2009, Am J Manag Care, 15, 71
  3. Gilfillan RJ, 2010, Am J Manag Care, 16, 607
  4. Maeng DD, 2012, Am J Manag Care, 18, 149
  5. Leff B, 2009, Am J Manag Care, 15, 555
  6. Lee JG, 2011, Healthc Financ Manage, 65, 70
  7. Farris KB, 2004, Can Fam Physician, 50, 998

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Metadata

Authors
Jackson, G. L., Powers, B. J., Chatterjee, R., Prvu Bettger, J., Kemper, A. R., Hasselblad, V., Dolor, R. J., Irvine, R. J., Heidenfelder, B. L., Kendrick, A. S., Gray, R., & Williams, J. W.
Affiliations
  • Duke University (US)
  • From Durham Veterans Affairs Medical Center and Duke University Schools of Medicine and Nursing, Durham, North Carolina.
ORCID
Venue
Annals of Internal Medicine
Publisher
American College of Physicians
Published
2013-02-05
Volume
158
Issue
3
Pages
169-178
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
DOI
10.7326/0003-4819-158-3-201302050-00579
OpenAlex
W2007551741
Cited by
699
References
82
Citations by year
2026: 17 · 2025: 22 · 2024: 37 · 2023: 30 · 2022: 45 · 2021: 35 · 2020: 48 · 2019: 57 · 2018: 60 · 2017: 78 · 2016: 92 · 2015: 72 · 2014: 67 · 2013: 30
FWCI
10.47
Type
journal article
Language
en
Open access
closed
Licence
www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations
  • Annals of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Technology
Keywords
patient-centered medical home, primary care organization, implementation, patient experience, employee experience, preventive medicine, emergency department visits, hospitalization, cost reduction, chronic disease, quality of care
MeSH terms
Emergency Medical Services, Humans, Patient Admission, Patient Care Team, Personal Satisfaction, Preventive Health Services, Primary Health Care, Quality of Health Care, Health Care Costs, Patient Satisfaction, Patient-Centered Care, Physicians, Primary Care

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CoChat. (2026). Citation check: The Patient-Centered Medical Home: A Systematic Review. https://app.cochat.ai/papers/10.7326/0003-4819-158-3-201302050-00579
The paper
Jackson, G. L., Powers, B. J., Chatterjee, R., Prvu Bettger, J., Kemper, A. R., Hasselblad, V., Dolor, R. J., Irvine, R. J., Heidenfelder, B. L., Kendrick, A. S., Gray, R., & Williams, J. W. (2013). The Patient-Centered Medical Home: A Systematic Review. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-158-3-201302050-00579