Literature DB >> 28670708

Do Patient-Centered Medical Homes Improve Health Behaviors, Outcomes, and Experiences of Low-Income Patients? A Systematic Review and Meta-Analysis.

Carissa van den Berk-Clark1, Emily Doucette1,2, Fred Rottnek1, William Manard1, Mayra Aragon Prada1, Rachel Hughes1, Tyler Lawrence1, F David Schneider1.   

Abstract

OBJECTIVES: To examine: (1) what elements of patient-centered medical homes (PCMHs) are typically provided to low-income populations, (2) whether PCMHs improve health behaviors, experiences, and outcomes for low-income groups. DATA SOURCES/STUDY
SETTING: Existing literature on PCMH utilization among health care organizations serving low-income populations. STUDY
DESIGN: Systematic review and meta-analysis. DATA COLLECTION/EXTRACTION
METHODS: We obtained papers through existing systematic and literature reviews and via PubMed, Web of Science, and the TRIP databases, which examined PCMHs serving low-income populations. A total of 434 studies were reviewed. Thirty-three articles met eligibility criteria. PRINCIPAL
FINDINGS: Patient-centered medical home interventions usually were composed of five of the six recommended components. Overall positive effect of PCMH interventions was d = 0.247 (range -0.965 to 1.42). PCMH patients had better clinical outcomes (d = 0.395), higher adherence (0.392), and lower utilization of emergency rooms (d = -0.248), but there were apparent limitations in study quality.
CONCLUSIONS: Evidence shows that the PCMH model can increase health outcomes among low-income populations. However, limitations to quality include no assessment for confounding variables. Implications are discussed. © Health Research and Educational Trust.

Entities:  

Keywords:  Patient-centered medical home; implementation; poverty; underserved patients

Mesh：

Year:  2017        PMID： 28670708      PMCID： PMC5980195          DOI： 10.1111/1475-6773.12737

Source DB:  PubMed          Journal:  Health Serv Res        ISSN： 0017-9124            Impact factor:   3.402


  44 in total

Review 1.  The patient-centered medical home: a review of recent research.

Authors:  Timothy Hoff; Wendy Weller; Matthew DePuccio
Journal:  Med Care Res Rev       Date:  2012-05-29       Impact factor: 3.929

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Authors:  Heather Sophia Lee; Amy A Mericle; Liat Ayalon; Patricia A Areán
Journal:  Int J Geriatr Psychiatry       Date:  2009-01       Impact factor: 3.485

3.  Initial Development of a Computer Algorithm to Identify Patients With Breast and Lung Cancer Having Poor Prognosis in a Safety Net Hospital.

Authors:  Ramona L Rhodes; Sabiha Kazi; Lei Xuan; Ruben Amarasingham; Ethan A Halm
Journal:  Am J Hosp Palliat Care       Date:  2015-07-02       Impact factor: 2.500

4.  Revisiting the behavioral model and access to medical care: does it matter?

Authors:  R M Andersen
Journal:  J Health Soc Behav       Date:  1995-03

5.  Small and medium-size physician practices use few patient-centered medical home processes.

Authors:  Diane R Rittenhouse; Lawrence P Casalino; Stephen M Shortell; Sean R McClellan; Robin R Gillies; Jeffrey A Alexander; Melinda L Drum
Journal:  Health Aff (Millwood)       Date:  2011-06-30       Impact factor: 6.301

6.  Providing underserved patients with medical homes: assessing the readiness of safety-net health centers.

Authors:  Katie Coleman; Kathryn Phillips
Journal:  Issue Brief (Commonw Fund)       Date:  2010-05

7.  Costs of chronic disease management for newly insured adults.

Authors:  Todd Gilmer
Journal:  Med Care       Date:  2011-09       Impact factor: 2.983

8.  Implications of reassigning patients for the medical home: a case study.

Authors:  Katie Coleman; Robert J Reid; Eric Johnson; Clarissa Hsu; Tyler R Ross; Paul Fishman; Eric Larson
Journal:  Ann Fam Med       Date:  2010 Nov-Dec       Impact factor: 5.166

9.  Transforming primary care in the New Orleans safety-net: the patient experience.

Authors:  Laura A Schmidt; Diane R Rittenhouse; Kevin J Wu; James A Wiley
Journal:  Med Care       Date:  2013-02       Impact factor: 2.983

10.  Creating a more resilient safety net for persons with chronic disease: beyond the "medical home".

Authors:  Karen B DeSalvo; Stefan Kertesz
Journal:  J Gen Intern Med       Date:  2007-09       Impact factor: 5.128
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2.  Post-Trial Sustainability and Scalability of the Benefits of a Medical Home for High-Risk Children with Medical Complexity.

Authors:  Elenir B C Avritscher; Ricardo A Mosquera; Jon E Tyson; Claudia Pedroza; Cheryl L Samuels; Tomika S Harris; Ana Gomez-Rubio; Fernando A Navarro; Shade B Moody; Rebecca M Beyda
Journal:  J Pediatr       Date:  2018-12-04       Impact factor: 4.406

3.  Duration of medical home participation and quality of care for patients with chronic conditions.

Authors:  Karen E Swietek; Marisa Elena Domino; Lexie R Grove; Chris Beadles; Alan R Ellis; Joel F Farley; Carlos Jackson; Jesse C Lichstein; C Annette DuBard
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4.  Revitalizing Primary Care, Part 2: Hopes for the Future.

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5.  Examining delays in diagnosis for slipped capital femoral epiphysis from a health disparities perspective.

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6.  The patient-centered oncology care on health care utilization and cost: A systematic review and meta-analysis.

Authors:  Hailun Liang; Lei Tao; Eric W Ford; May A Beydoun; Shaker M Eid
Journal:  Health Care Manage Rev       Date:  2020 Oct/Dec

7.  Veteran Patient Perspectives and Experiences During Implementation of a Patient-Centered Medical Home Model.

Authors:  Anaïs Tuepker; Summer Newell; Christina Nicolaidis; Marie-Elena Reyes; Maria Carolina González-Prats; Eleni Skaperdas; Devan Kansagara
Journal:  J Patient Exp       Date:  2017-10-06

8.  The effectiveness of patient-centred medical home model versus standard primary care in chronic disease management: protocol for a systematic review and meta-analysis of randomised and non-randomised controlled trials.

Authors:  James Rufus John; Shima Ghassempour; Federico Girosi; Evan Atlantis
Journal:  Syst Rev       Date:  2018-11-29

9.  Association Between Prior Insurance and Health Service Utilization Among the Long-Term Uninsured in South Carolina.

Authors:  Lu Shi; Ellen C Francis; Chaoling Feng; Xi Pan; Khoa Truong
Journal:  Health Equity       Date:  2019-08-14

10.  Prevalence of unmasked and improperly masked behavior in indoor public areas during the COVID-19 pandemic: Analysis of a stratified random sample from Louisville, Kentucky.

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Journal:  PLoS One       Date:  2021-07-28       Impact factor: 3.240
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