Underserved patients' perspectives on patient-centered primary care: does the patient-centered medical home model meet their needs?
The patient-centered medical home (PCMH) has gained significant interest as a delivery system model that can improve health care quality while reducing costs. This study uses focus groups to investigate underserved, chronically ill patients' preferences for care and develops a patient-centered framework of priorities. Seven major priorities were identified: (a) communication and partnership, (b) affordable care, (c) coordinated care, (d) personal responsibility, (e) accessible care, (f) education and support resources, and (g) the essential role of nonphysician providers in supporting their care. Using the framework, we analyzed the PCMH joint principals as developed by U.S. medical societies to identify where the PCMH model could be improved to better meet the needs of these patients. Four of the seven patient priorities were identified as not present in or supported by current PCMH joint principles. The study discusses how the PCMH model can better address the needs of low-income, disadvantaged patients.
['Mead|Holly|H|', 'Andres|Ellie|E|', 'Regenstein|Marsha|M|']
D000293:Adolescent D000328:Adult D000368:Aged D005260:Female D017144:Focus Groups D017048:Health Care Costs D006297:Health Services Accessibility D006301:Health Services Needs and Demand D006801:Humans D008297:Male D008875:Middle Aged D010353:Patient Education as Topic D018802:Patient-Centered Care D011320:Primary Health Care D055815:Young Adult
patient-centered medical home chronic conditions patient focus groups patient-centered care