CoChat
Sign Up
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
Open this paper in CoChat — free account

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

Integrity signals

Registry

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

Cites

82 of 82 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

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

Cited by

Sorted by citations

See all 699

Related

See all

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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review