Patients use the internet to enter the medical home.

Departmentof Community and Family Medicine, Dartmouth Medical School, Hanover, New Hampshire, USA.
The Journal of ambulatory care management 01/2011; 34(1):38-46. DOI: 10.1097/JAC.0b013e3181fff641
Source: PubMed

ABSTRACT There is a large gap between the promise of patient-centered medical home (PCMH) and our current capacity to define and measure it. The purpose of this article is to describe the findings of "real-time" patient-reported data about constructs of the PCMH and to demonstrate how an Internet-based method can be useful for obtaining patient report about the PCMH. We find that patients' Internet ratings seem stable and demonstrate relationships that fit constructs and models for the PCMH. We also find that current PCMH performance across this sample of 69 clinical settings is highly variable and still leaves a great deal of room for improvement.

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    • "They suggest that this hesitancy is due to the lack of visible employer involvement in most PCMH demonstrations, wide variability in pilot designs , fear of the costs, uncertainty about the benefits, and disruption of existing patientprovider relationships. While Wasson et al. (2010) are optimistic about patient readiness and willingness for electronic entry into the PCMH, that may represent an atypical minority of patients. Overall, it would be nice to have more information here. "
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