PCMH: Shouldn't Patients Have Their Say?

Philip Betbeze, for HealthLeaders Media , April 25, 2014

Langston believes that the despite the headline findings in the research study, the PCMH is far from discredited. In fact, its many attributes are highly sought after by older adults, who like the concept of team-based care. He cites the Hartford Foundation's recently released poll results as evidence.

Among the top findings, he notes, is that only 27% said they currently receive well-coordinated care. Of that group, some 83% said that team care has improved their health.

And among older adults who are not currently receiving this type of care, 61% said they believe team-based care would improve their health and 73% want this type of care. The research was conducted nationwide over four days in January and February, and surveyed 1,107 adults 65 and older.

"Not very many older people are getting the elements to the PCMH," says Langston. "Those who do think it's very helpful to improving their health, which we think is a pretty high standard for people to endorse. Even people who weren't getting it thought these elements had a potential to benefit their health."

Of course, it's a poll, not a peer-reviewed study, but as the most expensive cohort for healthcare spending, shouldn't policymakers—and physicians, for that matter, listen to people over 65 about what they want from their healthcare too?

Philip Betbeze is senior leadership editor with HealthLeaders Media.
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1 comments on "PCMH: Shouldn't Patients Have Their Say?"

Randy Wexler MD MPH FAAFP (4/26/2014 at 11:47 AM)
It is unfortunate that a single study (likely because it was in JAMA)has been received as if it is the quintessential study on what a PCMH can do. That is troubling. In this study physicians were paid to achieve NCQA recognition. Not provide PCMH care. This is a very important distinction. In addition they were tasked with recognition under the 2008 requirements, and it was 2011 when quality improvement was added. The Patient Centered Primary Care Collaborative at http://www.pcpcc.org/resource/medical-homes-impact-cost-quality provides overwhelming evidence as to the benefits of PCMH care. Cost is reduced and outcomes improved in those places providing PCMH care, whether NCQA recognized or not. As such, it is what you deliver, not what you call the delivery of care that is important, and the delivery of PCMH care is the key.




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