Perceptions of High-Risk Patients and Their Providers on the Patient-Centered Medical Home

In the Journal of Ambulatory Care Management, Shreya Kangovi and colleagues, including Judith Long and David Grande, analyze patient and primary care practice staff perceptions of patient-centered medical homes (PCMH). Through a multi-state qualitative survey, the authors explore areas of agreement and tension between the perceptions of chronically ill, low-income patients and their primary care practice staff on PCMH principles and implementation strategies. PCMH are a team-based delivery model that emphasize continuity of care and health outcomes. Kangovi and colleagues’ conclude some key takeaways from their survey results. First, both patients and providers described the tradeoff of seeing an unfamiliar provider quickly versus waiting to see their regular physician. Additionally, while staff were enthusiastic about the use of online communications, high-risk patients saw them as a barrier to care. Finally, patient-centered medical homes lack the capacity to manage high-risk patients and frequently refer them to emergency rooms.