Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home
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
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- Institute of Medicine. Primary Care America’s Health in a New Era. Vol 1. Washington: National Academy Press; 1996.
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- Starfield B. Is US health really the best in the world? JAMA. 2000;284(4):483–5. CrossRef
- Stange KC, Nutting PA, Miller WL, Jaen CR, Crabtree BF, Flocke SA, Gill JM. Defining and measuring the patient-centered medical home. JGIM. 2010;XXXX.
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- Berenson RA, Rich EC. U.S. approaches to physician payment: the deconstruction of primary care. JGIM. 2010;XXXXX.
- Rich EC, Berenson RA. U.S. approaches to physician payment: the deconstruction of primary care. JGIM. 2010;XXXXX.
- Rittenhouse DR, Thom DH, Schmittdiel JA. Developing a policy-relevant research agenda for the patient-centered medical home: a focus on outcomes. JGIM. 2010;XXXXXX.
- Pham HH. Good neighbors: how wil medical home physicians and the rest of the delivery system relate to one another? JGIM. 2010;XXXXXX.
- Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home
Journal of General Internal Medicine
Volume 25, Issue 6 , pp 581-583
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- 1. Department of Health Care Policy, Harvard Medical School, Boston, USA
- 2. Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, USA
- 4. Department of Family and Community Medicine, Jefferson Medical College, Philadelphia, PA, USA
- 5. Division of General Pediatrics, Children’s Hospital Boston/ Harvard Medical School, Boston, MA, USA
- 3. The Delaware Valley Outcomes Research Institute, Newark, DE, USA
- 6. Mathematica Policy Research, Washington, DC, USA
- 7. Creighton University School of Medicine, Omaha, NE, USA