Article Figures & Data
Tables
Additional Files
Supplemental Appendixes 1-14
PDF files. Last file listed is all 14 appendixes in a single PDF file.
Files in this Data Supplement:
- Supplemental data: Appendix 1 - PDF file
- Supplemental data: Appendix 10 - PDF file
- Supplemental data: Appendix 11 - PDF file
- Supplemental data: Appendix 12 - PDF file
- Supplemental data: Appendix 13 - PDF file
- Supplemental data: Appendix 14 - PDF file
- Supplemental data: Appendixes 1-14 - PDF file
- Supplemental data: Appendix 2 - PDF file
- Supplemental data: Appendix 3 - PDF file
- Supplemental data: Appendix 4 - PDF file
- Supplemental data: Appendix 5 - PDF file
- Supplemental data: Appendix 6 - PDF file
- Supplemental data: Appendix 7 - PDF file
- Supplemental data: Appendix 8 - PDF file
- Supplemental data: Appendix 9 - PDF file
The Article in Brief
Recommendations for a Mixed Methods Approach to Evaluating the Patient-Centered Medical Home
Roberta E. Goldman , and colleagues
Background The Patient-Centered Medical Home (PCMH) is intended to transform primary care practices by combining the best primary care attributes with new ways of structuring and coordinating care, engaging patients, improving health outcomes, providing a better patient experience, improving efficiency and use of health information technology, and reducing costs. This study develops a methodology for identifying how and why transformation occurs in primary care practices.
What This Study Found PCMH evaluation must be comprehensive enough to assess and explain the context of transformation in different primary care practices and the experiences of diverse stakeholders. The methods and measures proposed in this study are intended to be used together and include survey instruments, PCMH meta-measures, patient outcomes, quality measures, qualitative interviews, participant observation, and process evaluation.
Implications
- This approach, the authors conclude, can foster insights about how transformation affects critical outcomes to achieve meaningful, patient-centered, high-quality, and cost-effective sustainable change among diverse primary care practices. These insights, in turn, can inform recommendations for practice facilitation that can most effectively achieve the goals of the PCMH model.