Use of patient centered medical home features not related to patients' experience of care

June 8, 2012 By Glenda Fauntleroy, Health Behavior News Service
Use of patient centered medical home features not related to patients' experience of care

Providing patient care using key features of a Patient-Centered Medical Home (PCMH), a model of health care delivery promoted by major physician groups, may not influence what patients think about the care they receive, reports a new study in Health Services Research.

The patient-centered medical home (PCMH) is a team-based model of that provides coordinated in order to maximize . Past research has indicated that a PCMH can improve patients’ use of preventive care services and decrease hospitalizations and emergency room visits.

This new study is one of the first to research how patients view their experience with physicians whose practices have incorporated some processes integral to the PCMH model.

“We know that many community leaders are pursuing PCMH strategies to improve patient-centeredness in their regions, often in partnership with health plans and government initiatives, so we clearly thought there might be some relationship between PCMH processes and patient experience,” said lead author Grant Martsolf, a doctoral candidate in the department of health policy and administration at Pennsylvania State University.

The researchers used data from three national surveys of 393 physician practices and 1,304 of the practice’s patients. They looked for a relationship between four key PCMH features (having a physician-led practice; offering enhanced access to care; care coordination and integration; and quality and safety) and patient reviews of their care experience.

Researchers found that the use of those four PCMH processes had no significant association with patient reviews of: whether the physician explained things clearly and spends enough time with the patient; treatment goal setting; and out-of-office contact via phone, mail or email.

“Although our study makes an important contribution, I think that the lack of a significant relationship should raise a number of important additional questions about PCMH,” Martsolf said. 

Michael Barr, M.D., senior vice president for Medical Practice, Professionalism & Quality at the American College of Physicians, pointed out that one of the study’s limitations was that “most of the practices were not attempting to become a patient-centered .”

Martsolf noted that impacting patient experience of care may require that a practice adopt the full model of PCMH processes. The researchers also acknowledged that more research is needed to better understand the relationship between patient experience and the various components of the PCMH model over time.

“There is much work to be done to understand the best way to engage and families to improve the experience of care, and how to measure whether indeed the experience has improved,” said Barr.  “If constructed properly, early evidence suggests that PCMH practices should improve quality, reduce costs, and enhance patient ,” he continued.

Explore further: Health-care model improves diabetes outcomes, health

More information: Martsolf GR, Alexander J, et al. (2012). The patient centered medical home and patient experience. Health Services Research.

Related Stories

Health-care model improves diabetes outcomes, health

July 13, 2011
(Medical Xpress) -- A health-care delivery model called patient-centered medical home (PCMH) increased the percentage of diabetes patients who achieved goals that reduced their sickness and death rates, according to health ...

Tool assessing how community health centers deliver 'medical home' care may be flawed

February 15, 2012
On the health front, the poor often have at least two things going against them: a lack of insurance and chronic illnesses, of which diabetes is among the most common.

Funding models not associated with better preventive care delivery

December 5, 2011
Female physicians, smaller patient loads and electronic reminders are associated with better delivery of preventive health care to patients, rather than the way in which primary care practices are funded, states an article ...

Recommended for you

Sleep better, lose weight?

January 17, 2018
(HealthDay)—Sleeplessness could cost you when it's time to stand on your bathroom scale, a new British study suggests.

Who uses phone apps to track sleep habits? Mostly the healthy and wealthy in US

January 16, 2018
The profile of most Americans who use popular mobile phone apps that track sleep habits is that they are relatively affluent, claim to eat well, and say they are in good health, even if some of them tend to smoke.

Improvements in mortality rates are slowed by rise in obesity in the United States

January 15, 2018
With countless medical advances and efforts to curb smoking, one might expect that life expectancy in the United States would improve. Yet according to recent studies, there's been a reduction in the rate of improvement in ...

Teens likely to crave junk food after watching TV ads

January 15, 2018
Teenagers who watch more than three hours of commercial TV a day are more likely to eat hundreds of extra junk food snacks, according to a report by Cancer Research UK.

Can muesli help against arthritis?

January 15, 2018
It is well known that healthy eating increases a general sense of wellbeing. Researchers at Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) have now discovered that a fibre-rich diet can have a positive influence ...

Your dishwasher is not as sterile as you think

January 13, 2018
(HealthDay)—Your dishwasher may get those plates spotless, but it is also probably teeming with bacteria and fungus, a new study suggests.


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.