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PCMH: Shouldn't Patients Have Their Say?



Recent research that casts a pall on the cost and quality effectiveness of the patient-centered medical home is far from the final word on what patients—especially older, expensive ones—say they want from their physicians.



1 comments on "PCMH: Shouldn't Patients Have Their Say?"
Randy Wexler MD MPH FAAFP (4/26/2014 at 11:47 AM)

It is unfortunate that a single study (likely because it was in JAMA)has been received as if it is the quintessential study on what a PCMH can do. That is troubling. In this study physicians were paid to achieve NCQA recognition. Not provide PCMH care. This is a very important distinction. In addition they were tasked with recognition under the 2008 requirements, and it was 2011 when quality improvement was added. The Patient Centered Primary Care Collaborative at http://www.pcpcc.org/resource/medical-homes-impact-cost-quality provides overwhelming evidence as to the benefits of PCMH care. Cost is reduced and outcomes improved in those places providing PCMH care, whether NCQA recognized or not. As such, it is what you deliver, not what you call the delivery of care that is important, and the delivery of PCMH care is the key.