Do Medical Homes Improve Quality of Care for Persons with Multiple Chronic Conditions?

Patient-centered medical homes improve care for adults with chronic conditions.

The success of health care reform implementation in 2014 partly depends on more efficient delivery of care to the millions of California residents eligible to gain insurance. Emerging evidence supports the effectiveness of the patient-centered medical home (PCMH) as a potential model of care delivery, which improves health outcomes and reduces costs. Among other principles, PCMH entails receipt...

Rebuttal: Do electronic medical records improve quality of care? No.

YES Dr Greiver states that there is “little conclusive evidence that EMRs [electronic medical records] make a substantial difference in the quality of care provided to patients.”1 This conclusion is based primarily on the neutral results of systematic reviews. Systematic reviews require numerous homogeneous, high-quality studies to demonstrate a causal effect. The research on smoking is a good ...

Do electronic medical records improve quality of care? No.

YES Electronic medical records (EMRs) have had a positive effect on patient care and the work lives of family physicians. Over the past few decades our medical knowledge has increased. More investigative and treatment options are available; as a result our patients are living longer and we are dealing with more chronic conditions. Family physicians cannot “know all things” nor can we be “all th...

High performance team-based care for persons with chronic conditions

Care for patients with complex chronic conditions such as diabetes requires a coordinated and collaborative team working in partnership with the patient. Israel has taken important steps forward with the development of structured diabetes follow-up by Clalit Health Services, including several measures of diabetes care in the National Program for Quality Indicators in Community Healthcare, and e...

Innovating care for people with multiple chronic conditions in Europe