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 ...
- Rittenhouse DR, Shortell SM. The patient-centered medical home: will it stand the test of health reform? JAMA. 2009;301(19):2038–40. CrossRef
- Starfield B. Primary Care Concept, Evaluation and Policy. 1st ed. New York: Oxford University Press; 1992.
- Institute of Medicine. Primary Care America’s Health in a New Era. Vol 1. Washington: National Academy Press; 1996.
- Bitton A, Martin C, Landon BE. A nationwide survey of patient centered medical home demonstration projects. JGIM. 2010:XXXXX.
- 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.
- Homer C, Baron RJ. How to scale up primary care transformation: what we know and what we need to know. JGIM. 2010;XXXX.
- 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
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Industry Sectors
- Author Affiliations
- 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