Citations Database Definitions

  • Special Populations. This includes seven specific populations of interest to policymakers and researchers.
  • Reference Type. The resources catalogued in the database were categorized into reference types including journal articles, reports, policy briefs, and position statements.
  • Topic Tags. These tags cover the principles of the medical home, and specific topics related to the development, implementation, and evaluation of the PCMH.
  • Article Type. These categorize the resources according to whether they are a Case Study, Commentary Opinion Piece, Historical Publication, Key/Foundational Article, Literature Review, or Position Statement.

Patient Centered Care. Care that is oriented toward the whole person. Refers to how practices strive to understand and reflect the needs, culture, values, and preferences of the patient and their families; and help them manage and organize their care at the level they choose. It includes topics such as family/caregiver involvement, patient involvement/activation, patient satisfaction, cultural competence, and end-of-life care.

Comprehensive Care. Includes resources that describe how the medical home’s own team of providers work together to treat the large majority of each patient’s physical and mental health care needs, including what types of providers are on the team, workflow, and communication among the team members. Disease management and case management fall under this topic when they work with patients on chronic illness self-management.

Care Coordination. Refers to how the medical home coordinates care across all elements of the broader health system, including specialty care, hospitals, home health care, and community services and supports. Topics include provider integration, accountable care organizations, medical neighborhoods, incentivizing specialists, and hospital transitions and discharge planning. Disease management and case management fall under this topic when they work to coordinate care across outside providers.

Access to Care. Refers to strategies used to ensure patients have access to a medical home in general, and to care when and where they prefer, using such strategies as enhanced in-person hours, shorter waiting times, email and telephone care.

System Approach to Quality and Safety. Refers to efforts to improve quality and safety using activities such as evidence-based medicine and clinical decision-support tools, engaging in performance measurement and improvement, measuring and responding to patient experiences and satisfaction, practicing population health management, and sharing data on outcomes.

Health Information Technology (HIT). Covers technology such as electronic health records, electronic medical records, electronic registries, clinical decision-support tools, and personal health records.

Cost and Reimbursement. Includes resources that discuss payment approaches and the costs of providing medical home services. It also covers how to assign and attribute patients to a practice.

Primary Care Workforce Issues. Refers to medical education and training, workforce supply and demand projections, and the role of providers such as nurses, social workers, nutritionists, pharmacists in the medical home.

Defining/Evaluating/Qualifying a Medical Home. Covers how to define a medical home, and the prevalence of medical home characteristics among practices.

Demonstrations. Refers to demonstrations and pilots of the medical home.

Evaluation Methods and Approaches. Covers resources that discuss how to evaluate the medical home.

Outcomes. These resources present evidence of the effects of the PCMH or major components on costs, health outcomes, quality of care, patient satisfaction, or provider satisfaction.

Disparities. Refers to items that discuss whether the medical home or its components improve care for underserved and minority populations.

Toolkits. Toolkits provide practical guidance on the medical home to providers or patients.

Implementation. These resources discuss the experiences of practices as they transform into medical homes.

Special Populations:

1. Children with special needs

2. Children without special needs

3. Individuals with multiple chronic conditions

4. People with disabilities

5. People with mental and behavioral health issues

6. Medicare beneficiaries, and

7. Medicaid recipients

Case Study. Studies an example of the medical home.

Commentary/Opinion Piece. Expresses opinions on the PCMH or related policies

Historical publication. Describes the historical roots of the medical home model.

Key/Foundational Article. These articles are highly cited in discussions and literature on the medical home.

Literature review. Reviews and synthesizes literature on the medical home.