But their success has been demonstrated primarily in "highly integrated healthcare systems and single-payer community-based practices."
2 Key Lessons
Advocates for the medical home concept may be disappointed, he added, "but they should pay close attention to the study's lessons."
Friedberg says there are two key lessons from the Pennsylvania project:
"First, it's not a foregone conclusion that transforming and receiving recognition as a medical home will produce all the expected benefits of a medical home. And lesson number 2 is we still need to experiment with the model. It's not that we know what works and we just need to implement it at a bigger scale. This argues that we need to understand how to make this model effective. "
The concept of the patient-centered medical home involves making sure that patients are followed up. For example, patients with diabetes may be called at home if they haven't scheduled an appointment in six months, or invited to speak with a nurse on the phone.
Friedberg pointed to other research he and others conducted on a similar pilot model in Rhode Island, that showed "no significant improvements were found in any of the quality measures." That work was published in September.