U.S. Department of Health and Human Services

The Patient Centered Medical Home (PCMH)

The patient centered medical home (PCMH) has become a centerpiece of national efforts to reform U.S. health care and improve the value of primary care. It addresses gaps in quality care and high health care costs.1,2 It also has been shown that when adults have a medical home and health insurance, racial and ethnic disparities in access and quality are reduced or eliminated.3 Specific to diabetes, the PCMH has been associated with an increase in primary care office visits,4 improvement in patient-related diabetes care process measures,5 and decrease in emergency department utilization6 among patients with diabetes.

References

1. Stange KC, Nutting PA, Miller WL, et al. Defining and measuring the patient-centered medical home. J Gen Intern Med. 2010;25(6):601-12.
2. Bojadzievski T, Gabbay RA. Patient-centered medical home and diabetes. Diabetes Care. 2011;34(4):1047-53.
3. Beal AC, Doty MM, Hernandez SE, Shea KK, Davis K. Closing the Divide: How Medical Homes Promote Equity in Health Care—Results from the Commonwealth Fund 2006 Health Care Quality Survey. New York, NY: The Commonwealth Fund; 2007.
4. Liss DT, Reid RJ, Grembowski D, Rutter CM, Ross TR, Fishman PA. Changes in office visit use associated with electronic messaging and telephone encounters among patients with diabetes in the PCMH. Ann Fam Med. 2014;12(4):338-43.
5. Stevens GD, Shi L, Vane C, Peters AL. Do experiences consistent with a medical-home model improve diabetes care measures reported by adult Medicaid patients? Diabetes Care. 2014;37(9):2565-71.
6. David G, Gunnarsson C, Saynisch PA, Chawla R, Nigam S. Do patient-centered medical homes reduce emergency department visits?. Health Serv Res. 2015;50(2):418-39.

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