Do Patient-Centered Medical Home Access and Care Coordination Measures Reflect the Contribution of All Team Members? A Systematic Review

J Nurs Care Qual. 2016 Oct-Dec;31(4):357-66. doi: 10.1097/NCQ.0000000000000192.

Abstract

Patient-Centered Medical Home (PCMH) evaluations have primarily focused on primary care providers and not on the primary care team. This systematic literature review examined the extent to which access and care coordination measures in PCMH reflect the involvement of associate care providers (ACPs), which include registered and licensed practical nurses, nursing and medical assistants, clerks, pharmacists, social workers, and dietitians. Among 42 studies, few measures specified ACP roles or linked ACP care to outcomes. Increasing attention on team-based care emphasizes a vital need to reframe measures within a team context.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Communication
  • Continuity of Patient Care / standards
  • Cooperative Behavior*
  • Health Services Accessibility / standards*
  • Humans
  • Patient Care Team / standards*
  • Patient-Centered Care / methods*
  • Primary Health Care / standards*
  • Professional Role