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 14. Summary of evidence on professional experience
 Statistically SignificantInconclusive
InterventionFavorableUnfavorableNot Statistically SignificantUncertain Statistical Significance
Note: A result is considered statistically significant if p<0.05. Statistical significance is considered uncertain if the study did not account for clustering of patients within practices when calculating statistical significance.
Guided Care  12 months: Satisfaction with care management, time spent on chronic care, knowledge of patients’ personal circumstances, and coordination of care12 months: Satisfaction with communication and knowledge of patients’ clinical circumstance