The patient-centered medical home and patient experience.
OBJECTIVE
To examine the relationship between practices' reported use of patient-centered medical home (PCMH) processes and patients' perceptions of their care experience.


METHODS
Primary survey data from 393 physician practices and 1,304 patients receiving care in those practices.


METHODS
This is an observational, cross-sectional study. Using standard ordinary least-squares and a sample selection model, we estimated the association between patients' care experience and the use of PCMH processes in the practices where they receive care.


METHODS
We linked data from a nationally representative survey of individuals with chronic disease and two nationally representative surveys of physician practices.


RESULTS
We found that practices' use of PCMH processes was not associated with patient experience after controlling for sample selection as well as practice and patient characteristics.


CONCLUSIONS
In our study, which was large, but somewhat limited in its measures of the PCMH and of patient experience, we found no association between PCMH processes and patient experience. The continued accumulation of evidence related to the possibilities of the PCMH, how PCMH is measured, and how the impact of PCMH is gauged provides important information for health care decision makers.
Department of Health Policy and Administration, Pennsylvania State University, 610 N Euclid Ave, Pittsburgh, PA 15206, USA. martsolfgr@upmc.edu
Grant R
GR
Martsolf
Jeffrey A
JA
Alexander
Yunfeng
Y
Shi
Lawrence P
LP
Casalino
Diane R
DR
Rittenhouse
Dennis P
DP
Scanlon
Stephen M
SM
Shortell
D000328:Adult; D000367:Age Factors; D000368:Aged; D002908:Chronic Disease / Q000628:therapy*; D003430:Cross-Sectional Studies; D005260:Female; D006302:Health Services Research; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012737:Sex Factors; D012959:Socioeconomic Factors