, Volume 25, Issue 6, pp 581-583

Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home

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Amidst the debate about health care reform, there appears to be near unanimity around the fact that a reformed US health care system requires at its foundation a robust system of primary care. The Patient-Centered Medical Home (PCMH) has emerged as the leading strategy around which primary care will be redesigned.1 The core principles of the PCMH model build upon the core concepts of primary care as defined by Starfield2 and the Institute of Medicine3, and include a whole person orientation with care that is accessible, coordinated, comprehensive, and continuous over time.

There are a variety of challenges to implementing the PCMH model; the core principles serve as a general guide, but do not necessarily specify the required capabilities of PCMH practices, the optimal reimbursement strategy, or the ideal methods for facilitating the transformation of current practices to meet the ideals of the PCMH model of care. Thus, although the implementation of the PCMH should be grounded in an ev