Publications: Patient-Centered Care

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Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home: A Focus on Outcomes

June 3, 2010 - "Multi-stakeholder involvement will be essential in developing a long-term policy-relevant research agenda" for measuring outcomes of the patient-centered medical home (model of primary care, conclude Commonwealth Fund–supported researchers writing in a special supplement to the Journal of General Internal Medicine.

Literature Abstract

Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home

June 3, 2010 - An editorial in a special supplement to the Journal of General Internal Medicine points to the need for a research agenda to accompany the implementation of patient-centered medical homes.

Literature Abstract

How to Scale Up Primary Care Transformation: What We Know and What We Need to Know?

June 3, 2010 - In a special supplement to the Journal of General Internal Medicine, Fund-supported authors Charles Homer and Richard Baron outline 10 critical elements necessary for transforming a primary care practice into a medical home.

Literature Abstract

U.S. Approaches to Physician Payment: The Deconstruction of Primary Care

June 3, 2010 - "Fee-for-service, the predominant physician payment scheme, has contributed to both the continuing decline in the primary care workforce and the capability to serve patients well," write the authors of this Fund-supported article in a special supplement to the Journal of General Internal Medicine.

Literature Abstract

How to Buy a Medical Home? Policy Options and Practical Questions

June 3, 2010 - Fund-supported authors explore payment options for patient-centered medical homes in a special supplement to the Journal of General Internal Medicine.

Literature Abstract

Enhancing the Capacity of Community Health Centers to Achieve High Performance: Findings from the 2009 Commonwealth Fund National Survey of Federally Qualified Health Centers

May 27, 2010 - Community health centers that are closely affiliated with hospitals have fewer difficulties getting their patients appointments for specialty procedures like X-rays, diagnostic tests, and visits with specialist physicians, according to this Commonwealth Fund survey of community health centers.

Fund Report

A Nationwide Survey of Patient-Centered Medical Home Demonstration Projects

May 18, 2010 - The medical home has been promoted by many experts as a model for delivering comprehensive, coordinated, patient-centered health care. In interviews with leaders at 26 demonstration sites around the country where the patient-centered medical home is being pilot-tested, researchers found substantial diversity in terms of size, scope, and design.

In the Literature

Paying for Performance in Primary Care: Potential Impact on Practices and Disparities

May 4, 2010 - Under a typical performance-based incentive program, primary care practices that serve high shares of poor and minority patients would receive lower payments than practices serving fewer such patients, according to this Commonwealth Fund–supported study.

In the Literature

Structuring Payment for Medical Homes

May 4, 2010 - This Commonwealth Fund-supported study examines four different payment approaches for the increasingly popular patient-centered medical home model, examining the incentives and practical issues likely to arise under each.

In the Literature

Providing Underserved Patients with Medical Homes: Assessing the Readiness of Safety-Net Health Centers

May 3, 2010 - This brief surveys safety-net health centers to determine their potential to become medical homes. Safety-net health centers that provide vulnerable and low-income populations with comprehensive primary care have unique opportunities for successful transformation, but also face challenges.

Issue Brief

International Developments in Self-Directed Care

February 17, 2010 - Self-directed care is an alternative way of delivering services that seeks to empower participants by expanding their degree of choice and control in selecting services. This issue brief examines a range of innovative self-directed care programs in England, Germany, the Netherlands, and the United States.

Issue Brief

Development of a New Patient-Based Measure of Pediatric Ambulatory Care

February 2, 2010 - The National Quality Forum has noted that questions about developmental and preventive care would improve the CAHPS pediatric survey. To fill this gap, Commonwealth Fund–supported researchers developed and tested new questions and survey protocols to assess the preventive and developmental care provided by pediatricians.

Literature Abstract

Improving Pediatric Preventive Care

February 1, 2010 - In this commentary in Academic Pediatrics, Commonwealth Fund vice president Edward L. Schor, M.D., contends that pediatricians rarely have sufficient time or enough specific information about children’s development and families’ circumstances to offer highly targeted, individualized care during preventive visits.

Literature Abstract

Balanced Measures for Patient-Centered Care

February 1, 2010 - The authors of a Commonwealth Fund–supported article published in the Journal of Ambulatory Care Management propose ways to include meaningful patient measures at the point of care. They describe tools to elicit information from patients and guide improvement efforts.

Literature Abstract

Physician Effects on Racial and Ethnic Disparities in Patients’ Experiences of Primary Care

February 1, 2010 - A Commonwealth Fund–supported study published in the Journal of General Internal Medicine investigated the extent to which racial and ethnic disparities can be attributed to differences within physician practices—meaning they are potentially related to discrimination or differential treatment—or to differences between practices, an indication that minority patients tend to receive treatment in low-performing practices.

Literature Abstract