0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

The Patient-Centered Medical Home:  One Size Does Not Fit All

Thomas L. Schwenk, MD1
[+] Author Affiliations
1Department of Family Medicine, University of Nevada School of Medicine, Reno and Las Vegas
JAMA. 2014;311(8):802-803. doi:10.1001/jama.2014.352.
Text Size: A A A
Published online

Extract

The patient-centered medical home (PCMH) is widely and vigorously promoted as the basis for primary care reform that will support a high-performing, cost-effective health care system.1 The PCMH involves a deceptively simple set of key structural practice features that have been proposed to result in enhanced access for routine primary care, improved delivery of preventive services, high-quality chronic disease management, and reduced emergency department and hospital utilization.1,2 The most definitive assessments of its success in improving quality and reducing utilization have been based in highly integrated health care systems and single-payer community-based practices,3 but this model of care is often promoted as the foundation for all primary care delivery, including the solo and small group practices that dominate the primary care delivery system.4 Advocates for the PCMH may be disappointed by the results of the study by Friedberg et al5 reported in this issue of JAMA. They need not be disappointed, but they should pay close attention to the study’s lessons.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();