Perceptions of high-risk patients and their providers on the patient-centered medical home

J Ambul Care Manage. 2015 Apr-Jun;38(2):134-43. doi: 10.1097/JAC.0000000000000060.


To explore perceptions of high-risk patients and their practice staff on the patient-centered medical home, we conducted a multisite qualitative study with chronically ill, low-income patients and their primary care practice staff (N = 51). There were 3 key findings. Both patients and staff described a trade-off: timely care from an unfamiliar provider versus delayed access to their personal physician. Staff were enthusiastic about enhancing access through strategies such as online communication, yet high-risk patients viewed these as access barriers. Practices lacked capacity to manage high-risk patients and therefore frequently referred them to the emergency room.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Personnel / psychology*
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Patient-Centered Care*
  • Patients / psychology*
  • Philadelphia
  • Primary Health Care*
  • Qualitative Research