Publications: Patient-Centered Care

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A 2020 Vision of Patient-Centered Primary Care

October 14, 2005 - Despite significant strides, "patient-centered" care is not yet the norm throughout the U.S. health care system. A new article by Fund experts shows how primary care in the U.S. can be taken to the next level.

In the Literature

About Half of the States Are Implementing Patient-Centered Medical Homes for Their Medicaid Populations

November 5, 2012 - Half of state Medicaid programs are taking new approaches to provider payment—focusing on chronically ill populations, using shared teams, aligning payments with national quality standards, and implementing shared-savings programs—to help primary care practices become patient-centered medical homes for their low-income patients.

In the Literature

Accountable Care Organizations: Commonwealth Fund Resources

October 24, 2011 - The Centers for Medicare and Medicaid Services has released its final regulations for accountable care organizations (ACOs), which are organizations made up of groups of health care providers that provide coordinated care. Check out our ACO Resource Page to read Commonwealth Fund publications and blog posts on ACOs.

Other

Accountable Care Organizations in the United States: Market and Demographic Factors Associated with Formation

October 4, 2013 - Little is known about the external factors that encourage or inhibit ACO formation in particular areas. Using 2012 data, Commonwealth Fund–supported researchers identified 227 ACOs located in health care markets that serve more than half the U.S. population.

In Brief

Achieving a New Standard in Primary Care for Low-Income Populations: Case Study 1: Redesigning the Patient Visit

August 11, 2004 - This case study documents the rigorous six-month redesign of the patient visit process at the Jerome Belson Health Center in the Bronx.

Fund Report

Achieving Better Quality of Care for Low-Income Populations: The Roles of Health Insurance and the Medical Home in Reducing Health Inequities

May 16, 2012 - A new analysis of the Commonwealth Fund 2010 Biennial Health Insurance Survey demonstrates that when low-income adults have both health insurance and a medical home, they are less likely to report cost-related access problems, more likely to be up-to-date with preventive screenings, and report greater satisfaction with the quality of their care.

Issue Brief

Achieving Effective Care Coordination in the Medical Home

November 24, 2009 - Drawing on a recent Commonwealth Fund report, Making Care Coordination a Critical Component of the Pediatric Health System: A Multidisciplinary Framework, the authors of this Fund-supported article discuss strategies for coordinating care in medical homes. They report that having committed leadership and a process to shift care delivery from "reactive encounters" to "proactive interactions" are key to success.

Literature Abstract

Addressing Unequal Treatment: Disparities in Health Care

November 5, 2004 - This Issue Brief was prepared for The Commonwealth Fund/John F. Kennedy School of Government Bipartisan Congressional Health Policy Conference, January 15–17, 2004.

Issue Brief

Adoption of Patient-Centered Care Practices by Physicians

April 10, 2006 - A new Commonwealth Fund study in the Archives of Internal Medicine finds that America's doctors still have a way to go in adopting information technology, practicing team-based care, and collecting feedback from their patients.

In the Literature

Advising Patients About Patient Safety: Current Initiatives Risk Shifting Responsibility

September 16, 2005 - Public education materials distributed by patient safety organizations may not always be effective or appropriate, says a Fund-supported study in the Joint Commission Journal on Quality and Patient Safety. More research about the role of patients in safety improvement efforts is needed, the authors say.

In the Literature

After-Hours Care and Its Coordination with Primary Care in the U.S.

July 2, 2012 - This Commonwealth Fund–supported found that primary care offices that offer after-hours care achieve physician buy-in; effective communication; make appropriate staffing adjustments, and make an overall commitment to improving access and continuity in patient–provider relationships.

In the Literature

After-Hours Care in the United Kingdom, Denmark, and the Netherlands: New Models

September 28, 2010 - In response to concerns about the quality and safety of health care provided after physician offices close for the day, new models have sprung up in several countries to provide patients with quality after-hours care. The authors of this Commonwealth Fund–supported study evaluated one such alternative.

Literature Abstract

American Journal of Public Health: Racial and Ethnic Disparities

October 1, 2003 - The root causes of disparities in the quality of care between minority Americans, including blacks, Hispanics, Asians, and Native Americans, and whites are not well understood, but a new study finds that patient-physician interactions contribute to the problem.

In the Literature

Assessing and Addressing Legal Barriers to the Clinical Integration of Community Health Centers and Other Community Providers

July 15, 2011 - Collaborations that integrate community health centers with hospitals, providers, and/or public health agencies have yielded substantial benefits for patients. This report outlines that laws and policies that govern clinical collaborations and profiles health centers that have worked within the law to develop partnerships.

Fund Report

Assessing Progress Toward Becoming a Patient-Centered Medical Home: An Assessment Tool for Practice Transformation

November 18, 2013 - The Safety Net Medical Home Initiative, sponsored by The Commonwealth Fund, helped 65 safety-net clinics become PCMHs. To help monitor progress and identify additional opportunities for improvement, researchers developed the Patient-Centered Medical Home Assessment. This study sought to test the tool’s validity in measuring progress in the PCMH transformation process.

In Brief