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Patient-Centered Medical Home

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Chronic Illness Care

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Abstract

The patient-centered medical home (PCMH) is a conceptual framework and operational model for primary care service delivery that began over a decade ago in response to a dysfunctional health-care system in the United States. In 2007, four national organizations representing primary care issued the joint principles of PCMH which include personal physician, physician-directed medical practice, whole-person orientation, coordinated care, quality and safety, enhanced access, and payment. These principles provide the framework for the key functions of robust medical homes. A review of the PCMH evidence base points to inconclusive results with some favorable effects on quality of care, hospital and emergency department use, and patient or caregiver experience and a few unfavorable effects on costs.

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Author information

Authors and Affiliations

  1. Department of Family Medicine, UNC Chapel Hill School of Medicine, Chapel Hill, NC, USA

    Mark D. Gwynne

  2. Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Timothy P. Daaleman

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  1. Mark D. Gwynne
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  2. Timothy P. Daaleman
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Correspondence to Timothy P. Daaleman .

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Editors and Affiliations

  1. Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

    Timothy P. Daaleman

  2. Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

    Margaret R. Helton

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Gwynne, M.D., Daaleman, T.P. (2018). Patient-Centered Medical Home. In: Daaleman, T., Helton, M. (eds) Chronic Illness Care. Springer, Cham. https://doi.org/10.1007/978-3-319-71812-5_28

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  • DOI: https://doi.org/10.1007/978-3-319-71812-5_28

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71811-8

  • Online ISBN: 978-3-319-71812-5

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