Older patients who received primary care at a patient-centered medical home (PCMH) reported significantly better experiences in shared decision making a year later, and in coordination of care and access to care both 12 and 24 months later than did similar patients at two control clinics, according to researchers.
Researchers found clinical quality on 22 measures improved for patients over 65 years old over baseline for the PCMH at 12 and 24 months, but did not differ significantly between the pilot clinic and the 19 control clinics.
PCMH patients used more e-mail, phone, and specialist visits, but fewer emergency services and inpatient admissions for ambulatory care-sensitive conditions. At 1 and 2 years, the PCMH and control clinics did not differ significantly in overall costs.
See details are in Fishman et al. (2012). Impact on seniors of the patient-centered medical home: Evidence from a pilot study. The Gerontologist, 52(5), 703-711. doi:10.1093/geront/gnr158