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In the Literature
Based on a literature review and interviews with physics, researchers identified ways in which medical homes could address problems facing the health care system, such as reimbursement inequities, and discussed prerequisites for medical home implementation.
The patient-centered medical home (PCMH) has been broadly defined as a practice providing care that is "accessible, continuous, comprehensive and coordinated and delivered in the context of family and community." While the definition is widely accepted, advocates of the PCMH model may have different expectations and emphases. Broad consensus on what medical homes can reasonably expect to accomplish and how they can be best supported will be necessary for wider adoption.
A 2020 Vision of Patient-Centered Primary Care." Bridges to Excellence, the National Committee for Quality Assurance, and other organizations initiated programs to advance PCMH activities.
Improving Care, Controlling Costs
The Bottom Line
PCMH may be a transformative innovation—for some practices now, but for many others only in the long run. Proponents of the model should be careful not to alienate physicians by overemphasizing the adoption of more challenging elements, like EHRs, and by not focusing on crucial aspects of patient-centered care.