Patient-Centered Medical Home (PCMH)

This research was conducted by Deniza Mazevska, Jim Pearse, and Stephanie Tierney. It was published in the Systematic Reviews journal. The study aims to refine an existing theoretical framework for implementing organisational change — the Consolidated Framework for Implementation Research (CFIR) — to apply to the implementation of the Patient-Centred Medical Home (PCMH) in primary care. The PCMH model was conceived to address problems that primary care practices around the world are facing, particularly in managing the increasing numbers of patients with multiple chronic diseases. The study will result in a refined theoretical framework that can be used by primary care practices to guide the implementation of the PCMH.

This study, conducted by Daniel D. Maeng, Thomas R. Graf, and Frederick J. Bloom, and published in the American Journal of Medical Quality, explores the impact of the Patient-Centered Medical Homes (PCMHs) model on clinical outcomes. Using the ProvenHealth Navigator (PHN), a PCMH model by Geisinger Health System, the research analyzed claims data from 2005 to 2009. The study found that the PHN model significantly reduced amputation rates among patients with various health conditions, demonstrating the potential of PCMHs in improving healthcare outcomes.