| Context for understanding the National Demonstration Project and the patient-centered medical home. | |
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MedLine Citation:
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PMID: 20530391 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article introduces a journal supplement evaluating the country's first national demonstration of the patient-centered medical home (PCMH) concept. The PCMH is touted by some as a linchpin for renewing the foundering US health care system and its primary care foundation. The National Demonstration Project (NDP) tested a new model of care and compared facilitated and self-directed implementation approaches in a group-randomized clinical trial. The NDP asked what a national sample of 36 highly motivated family practices could accomplish in moving toward the PCMH ideal during 2 years within the current US health care payment and organizational system. Our independent evaluation used a multimethod approach that integrated qualitative methods to tell the NDP story from multiple perspectives and quantitative methods to assess and compare aspects that could be measured. The 7 scientific reports presented in this supplement explain the process, outcomes, lessons, and implications of the NDP. This introductory article provides context for making sense of the NDP. Important context includes the evolution of the PCMH concept and movement, the roots of the NDP and how it developed, and both what is valuable and what is problematic about family medicine and primary care. Together, the articles in this supplement show how primary care practices and the concept of the PCMH can continue to evolve. The evaluation depicts some of the early effects of this evolution on patients and practices, and shows how the process of practice development can be understood and how lessons from the NDP can inform ongoing and future efforts to transform primary care and health care systems. |
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Authors:
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Kurt C Stange; William L Miller; Paul A Nutting; Benjamin F Crabtree; Elizabeth E Stewart; Carlos Roberto Jaén |
Publication Detail:
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Type: Introductory Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Annals of family medicine Volume: 8 Suppl 1 ISSN: 1544-1717 ISO Abbreviation: Ann Fam Med Publication Date: 2010 |
Date Detail:
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Created Date: 2010-06-09 Completed Date: 2010-10-07 Revised Date: 2011-02-10 |
Medline Journal Info:
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Nlm Unique ID: 101167762 Medline TA: Ann Fam Med Country: United States |
Other Details:
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Languages: eng Pagination: S2-8; S92 Citation Subset: IM |
Affiliation:
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Department of Family Medicine, and The Case Comprehensive Cancer Center, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA. kcs@case.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Humans Models, Organizational Multicenter Studies as Topic Patient-Centered Care / methods, organization & administration*, standards Primary Health Care / methods, organization & administration*, standards Qualitative Research Quality Assurance, Health Care / methods, organization & administration, standards Randomized Controlled Trials as Topic |
| Grant Support | |
ID/Acronym/Agency:
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K05 CA140237-01/CA/NCI NIH HHS |
| Comments/Corrections | |
Erratum In:
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Ann Fam Med. 2010 Jul-Aug;8(4):369 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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