Association of the Patient-Centered Medical Home Implementation with Chronic Disease Quality in Patients with Multimorbidity.

ABSTRACT:

Background

The patient-centered medical home (PCMH) was established in part to improve chronic disease management, yet evidence is limited for effects on patients with multimorbidity.

Objective

To examine the association of Patient-Aligned Care Team (PACT) implementation, the Veterans Health Administration (VA) PCMH model, and care quality for multimorbid patients enrolled in VA primary care from 2012 to 2014.

Design

Retrospective cohort.

Patients

318,764 multimorbid (> 3 chronic diseases) patients receiving care in 917 clinics.

Main measures

PCMH implementation was measured using the PACT Implementation Progress Index (PI²) for clinics in 2012. The PI² is a validated composite measure of administrative and survey data with higher s

SUBMITTER: Schuttner L 

PROVIDER: S-EPMC7572962 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature