Elements of the patient-centered medical home associated with health outcomes among veterans: the role of primary care continuity, expanded access, and care coordination

J Ambul Care Manage. 2014 Oct-Dec;37(4):331-8. doi: 10.1097/JAC.0000000000000032.

Abstract

Care continuity, access, and coordination are important features of the patient-centered medical home model and have been emphasized in the Veterans Health Administration patient-centered medical home implementation, called the Patient Aligned Care Team. Data from more than 4.3 million Veterans were used to assess the relationship between these attributes of Patient Aligned Care Team and Veterans Health Administration hospitalization and mortality. Controlling for demographics and comorbidity, we found that continuity with a primary care provider was associated with a lower likelihood of hospitalization and mortality among a large population of Veterans receiving VA primary care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cause of Death
  • Female
  • Health Services Accessibility
  • Health Services Research
  • Hospitalization / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Models, Organizational
  • Outcome Assessment, Health Care*
  • Patient-Centered Care / organization & administration*
  • Primary Health Care / organization & administration*
  • United States
  • United States Department of Veterans Affairs