title: Small and medium-size physician practices use few patient-centered medical home processes.
abstract: The patient-centered medical home has become a prominent model for reforming the way health care is delivered to patients. The model offers a robust system of primary care combined with practice innovations and new payment methods. But scant information exists about the extent to which typical US physician practices have implemented this model and its processes of care, or about the factors associated with implementation. In this article we provide the first national data on the use of medical home processes such as chronic disease registries, nurse care managers, and systems to incorporate patient feedback, among 1,344 small and medium-size physician practices. We found that on average, practices used just one-fifth of the patient-centered medical home processes measured as part of this study. We also identify internal capabilities and external incentives associated with the greater use of medical home processes.
authors: Department of Family and Community Medicine, Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, USA. rittenhouse@fcm.ucsf.edu
authors: Diane R
authors: DR
authors: Rittenhouse
authors: Lawrence P
authors: LP
authors: Casalino
authors: Stephen M
authors: SM
authors: Shortell
authors: Sean R
authors: SR
authors: McClellan
authors: Robin R
authors: RR
authors: Gillies
authors: Jeffrey A
authors: JA
authors: Alexander
authors: Melinda L
authors: ML
authors: Drum
mesh_terms: D003430:Cross-Sectional Studies; D006123:Group Practice / Q000458:organization & administration*; D006276:Health Facility Size; D007407:Interviews as Topic; D018802:Patient-Centered Care / Q000706:statistics & numerical data*; D014481:United States