The Medical Home: What Do We Know, What Do We Need to Know? A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model

March 2013
AHRQ Publication No. 12(14)-0020-1-EF
Prepared For:
Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov

Contract Numbers: HHSA290200900019I/HHSA29032002T, HHSA290200900019I/HHSA29032005T
Prepared By: Mathematica Policy Research, Princeton, NJ; Aparajita Zutshi, Ph.D., Deborah Peikes, Ph.D., M.P.A., Kimberly Smith, Ph.D., M.P.A., Melissa Azur, Ph.D. (Mathematica Policy Research),  Janice Genevro, Ph.D., Michael Parchman, M.D., David Meyers, M.D. (Agency for Healthcare Research and Quality).
Table 12. Summary of evidence on patient experience
 Statistically SignificantInconclusive
InterventionFavorableUnfavorableNot Statistically SignificantUncertain Statistical Significance
Notes: A result is considered statistically significant if p < 0.05.
Guided Care  1.5 years: Decision support1.5 years: Care coordination, overall quality of care, goal setting, problem solving, patient activation
mproving Mood–Promoting Access to Collaborative Treatment3 months;
12 months: Improved satisfaction with care
    
Veterans Affairs Team-Managed Home-Based Primary CareYear 1: Improved access to care, interpersonal experience, technical quality, communication, and self-reported outcomes among nonterminal patients Year 1: Satisfaction with care among nonterminal patients