title: Implementation of Patient-Centered Medical Homes in Adult Primary Care Practices.
abstract: There has been relatively little empirical evidence about the effects of patient-centered medical home (PCMH) implementation on patient-related outcomes and costs. Using a longitudinal design and a large study group of 2,218 Michigan adult primary care practices, our study examined the following research questions: Is the level of, and change in, implementation of PCMH associated with medical surgical cost, preventive services utilization, and quality of care in the following year? Results indicated that both level and amount of change in practice implementation of PCMH are independently and positively associated with measures of quality of care and use of preventive services, after controlling for a variety of practice, patient cohort, and practice environmental characteristics. Results also indicate that lower overall medical and surgical costs are associated with higher levels of PCMH implementation, although change in PCMH implementation did not achieve statistical significance.
authors: University of Michigan, Ann Arbor, MI, USA jalexand@umich.edu.
authors: Jeffrey A
authors: JA
authors: Alexander
authors: Blue Cross Blue Shield of Michigan, Detroit, MI, USA.
authors: Amanda R
authors: AR
authors: Markovitz
authors: Blue Cross Blue Shield of Michigan, Detroit, MI, USA.
authors: Michael L
authors: ML
authors: Paustian
authors: HealthPlus of Michigan, Ann Arbor, MI, USA.
authors: Christopher G
authors: CG
authors: Wise
authors: Blue Cross Blue Shield of Michigan, Detroit, MI, USA.
authors: Darline K
authors: DK
authors: El Reda
authors: University of Alberta, Edmonton, Alberta, Canada.
authors: Lee A
authors: LA
authors: Green
authors: University of Michigan, Ann Arbor, MI, USA.
authors: Michael D
authors: MD
authors: Fetters
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008824:Michigan; D017146:Models, Organizational; D018802:Patient-Centered Care / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D011787:Quality of Health Care
keywords: PCMH; PCMH evaluation; implementation; primary care