title: Patients use the internet to enter the medical home.
abstract: There is a large gap between the promise of patient-centered medical home (PCMH) and our current capacity to define and measure it. The purpose of this article is to describe the findings of "real-time" patient-reported data about constructs of the PCMH and to demonstrate how an Internet-based method can be useful for obtaining patient report about the PCMH. We find that patients' Internet ratings seem stable and demonstrate relationships that fit constructs and models for the PCMH. We also find that current PCMH performance across this sample of 69 clinical settings is highly variable and still leaves a great deal of room for improvement.
authors.affiliation: Departmentof Community and Family Medicine, Dartmouth Medical School, Hanover, New Hampshire, USA. john.h.wasson@dartmouth.edu
authors.forename: John H
authors.initials: JH
authors.lastname: Wasson
authors.forename: Regina
authors.initials: R
authors.lastname: Benjamin
authors.forename: Deborah
authors.initials: D
authors.lastname: Johnson
authors.forename: L Gordon
authors.initials: LG
authors.lastname: Moore
authors.forename: Todd
authors.initials: T
authors.lastname: Mackenzie
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D011787:Quality of Health Care; D055815:Young Adult