The patient-centered medical home: History, components, and review of the evidence

Jonathan Arend, Jenny Tsang-Quinn, Claudia Levine, David Thomas

Research output: Contribution to journalReview articlepeer-review

90 Scopus citations


The US healthcare system is plagued by unsustainable costs and yields suboptimal outcomes, indicating that new models of healthcare delivery are needed. The patient-centered medical home is one model that is increasingly regarded as a promising strategy for improving healthcare quality, decreasing cost, and enhancing the experience of both patients and providers. Conceptually, the patient-centered medical home may be described as combination of the core attributes of primary care-access, continuity, comprehensiveness, and coordination of care-with new approaches to healthcare delivery, including office practice innovations and reimbursement reform. Implementation efforts are gaining momentum across the country, fueled by both private-payer initiatives as well as supportive public policy. High-quality evidence on the effectiveness of the patient-centered medical home is limited, but the data suggest that, under some circumstances, patient-centered medical home interventions may lead to improved outcomes and generate moderate cost savings. Although the patient-centered medical home enjoys broad support by multiple stakeholders, significant challenges to widespread adoption of the model remain.

Original languageEnglish
Pages (from-to)433-450
Number of pages18
JournalMount Sinai Journal of Medicine
Issue number4
StatePublished - Jul 2012


  • care coordination
  • care management
  • chronic care model
  • health information technology
  • patient-centered medical home
  • population management
  • quality improvement
  • team-based care


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