What? You Don’t Like Your Medical Home?

Patients have not been all that happy with the [patient-centered medical homes], according to early research.  Pauline Chen’s New York Times article brought patients’ dissatisfaction with the PCMH to the public discussion last July. Citing reports from 36 practices participating in the PCMH National Demonstration Project, she noted that patients felt disoriented, displaced as team care replaced the one-to-one patient-doctor interactions.  The article asserts that patient satisfaction fell because few patients were aware of or involved with the changes going on around them.

Full article on the patient-centered medical home.

Comments (7)

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  1. Neil H. says:

    Interesting. Medical homes are the new fashion. What are we to do?

  2. Madeline says:

    I would think that it is important to know how these patients got their “medical home.” If their own doctor becomes the home that is one thing. If they get shoved into a place where everyone is unfamiliar that is another thing.

  3. Nancy says:

    Madeline, good point.

  4. Linda Gorman says:

    Patient centered? More like new ObamaCare reimbursement centered.

    An average household with kids likely has some combination of the the following medical homes: a dentist, a pediatrician, an internist, an OB-GYN, and an orthodontist. Might also include specialists in orthopedics for the sports injuries, or endocrinology for diabetes.

    The medical home theorists thinks that all of these experts can be replaced with one nurse practitioner and that outcomes will improve. And they probably will, because only the only measures that count will be value-based measures made up by the people who came up with this mess in the first place.

  5. Devon Herrick says:

    Proponents of a medical home like the idea of a family doctor that knows you by name. This is a nice thought. But what if you get stuck in a dysfunctional home? There needs to be a mechanism to run away from your medical home if it’s bad.

  6. Brian Williams. says:

    People should be able to choose a medical home if they want, or choose something else if they don’t like the medical home. Unfortunately, such choices only thrive in a free market.

  7. Berandal says:

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