title: Patient-Centered Medical Home Capacity and Ambulatory Care Utilization.
abstract: The patient-centered medical home (PCMH) has increasingly received attention as a model of care to potentially remedy the cost and quality problems that confront the US health care system, including and especially ambulatory care-related issues. This study examined the association between physician practices' PCMH capacity and 3 indicators of ambulatory care utilization: (1) emergency department utilization, (2) ambulatory care sensitive hospitalization rate, and (3) 30-day all-cause readmission rate. Results show that overall PCMH capacity is associated with lower rates, and technical aspects of the PCMH in particular were associated with lower utilization rates while interpersonal capabilities were not.
authors.affiliation: 1 University of Alabama at Birmingham, AL.
authors.forename: Larry R
authors.initials: LR
authors.lastname: Hearld
authors.affiliation: 1 University of Alabama at Birmingham, AL.
authors.forename: Kristine R
authors.initials: KR
authors.lastname: Hearld
authors.affiliation: 1 University of Alabama at Birmingham, AL.
authors.forename: Claudia
authors.initials: C
authors.lastname: Guerrazzi
mesh_terms: D000553:Ambulatory Care / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008824:Michigan; D010359:Patient Readmission / Q000706:statistics & numerical data; D018802:Patient-Centered Care / Q000458:organization & administration / Q000706:statistics & numerical data*
keywords: ambulatory care; longitudinal analysis; patient-centered medical home