Principles of the patient-centered medical home and preventive services delivery

Abstract

Purpose: Limited research exists examining the principles of the patient-centered medical home (PCMH) and improved outcomes. We examined whether PCMH principles (personal physician, physician-directed team, whole-person orientation, coordination of care, quality and safety, and enhanced access) are associated with receipt of preventive services. Methods: We undertook cross-sectional analyses using baseline patient and practice member surveys and chart audits from a quality improvement trial in 24 primary care offices. Association of PCMH principles with preventive services (receipt of cancer screening, lipid screening, influenza vaccination, and behav- ioral counseling) was examined using hierarchical linear modeling. Results: Higher global PCMH scores were associated with receipt of preventive services (β = 2.3; P