title: Translating the medical home into patient-centred language.
abstract: Background The patient-centred medical home (PCMH) is a healthcare delivery model that aims to make health care more effective and affordable and to curb the rise in episodic care resulting from increasing costs and sub-specialisation of health care. Although the PCMH model has been implemented in many different healthcare settings, little is known about the PCMH in rural or underserved settings. Further, less is known about patients' understanding of the PCMH and its effect on their care. Aims The goal of this project was to ascertain the patient perspective of the PCMH and develop meaningful language around the PCMH to help inform and promote patients' participation with the PCMH. Method The High Plains Research Network Community Advisory Council (CAC) is comprised of a diverse group of individuals from rural eastern Colorado. The CAC and its academic partners started this project by receiving a comprehensive education on the PCMH. Using a community-based participatory research approach, the CAC translated technical medical jargon on the PCMH into a core message that the 'Medical Home is Relationship'. Results The PCMH should focus on the relationship of the patient with their personal physician. Medical home activities should be used to support and strengthen this relationship. Conclusion The findings serve as a reminder of the crucial elements of the PCMH that make it truly patient centred and the importance of engaging local patients in developing and implementing the medical home.
authors.forename: Camille
authors.initials: C
authors.lastname: Allison
authors.forename: Linda
authors.initials: L
authors.lastname: Zittleman
authors.affiliation: High Plains Research Network, Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
authors.forename: Marc
authors.initials: M
authors.lastname: Ringel
authors.forename: Maret
authors.initials: M
authors.lastname: Felzien
authors.forename: Christopher
authors.initials: C
authors.lastname: Bennett
authors.forename: Shirley
authors.initials: S
authors.lastname: Cowart
authors.forename: Martha
authors.initials: M
authors.lastname: Flores
authors.forename: Rafael
authors.initials: R
authors.lastname: Flores
authors.forename: Mike
authors.initials: M
authors.lastname: Hernandez
authors.forename: Ned
authors.initials: N
authors.lastname: Norman
authors.forename: Mary
authors.initials: M
authors.lastname: Rodriquez
authors.forename: Norah
authors.initials: N
authors.lastname: Sanchez
authors.forename: Sergio
authors.initials: S
authors.lastname: Sanchez
authors.forename: Kathryn
authors.initials: K
authors.lastname: Winkelman
authors.affiliation: High Plains Research Network, Community Advisory Council, USA.
authors.forename: Steve
authors.initials: S
authors.lastname: Winkelman
authors.forename: Christin
authors.initials: C
authors.lastname: Sutter
authors.affiliation: High Plains Research Network, Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Gale
authors.affiliation: High Plains Research Network, Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA and Colorado HealthOP, Denver, CO, USA.
authors.forename: John M
authors.initials: JM
authors.lastname: Westfall
keywords: community-based participatory research; patient-centred medical home; rural