Search Methodology and Inclusion Criteria
This citations database contains recent and high-impact resources on the medical home, including journal articles, reports, policy briefs, select newsletter/trade publications, and position statements. The Ovid and EBSCO search engines were used to search within several social science, health services, and medical databases for resources that contain the search phrase “medical home,” “health care home,” and “patient aligned care team,” and focus on (1) the medical home, (2) a component of the medical home (e.g., care coordination) that is often cited by articles on the medical home, or (3) a policy issue related to the development and implementation of the medical home concept and is often cited by articles on the medical home.
In addition, the resources were required to meet one of these five criteria:
- Published from January 2009 through March 2015.
- Published in high-impact health services and medical journals (ISI Web of Science Influence Score of 1.5 or above) from January 2000 through March 2015.
- Focused on select highly cited medical home initiatives or models.
- Included in the grey literature on medical homes, either on Web sites of organizations and stakeholders active in the medical home arena identified during our scan of Web sites or presented at conferences.
- Cited in the bibliographies of select articles that present overviews of the medical home literature and/or are widely cited in the medical home literature and community.
The last comprehensive search for articles was conducted on April 3, 2015.
Categorization of References
By Resource Type. The resources catalogued in the database were categorized by five resource types: journal articles, reports, policy briefs, newsletters/trade publications, or position statements.
By Topic. In addition to categorizing references in the database by type of resource, topic tags were applied to each reference, using 23 topic tags in three categories. Topic tags were applied when the analysis or discussion focused or provided insight on a given topic. The tags are not mutually exclusive—more than one tag was applied to the majority of references. Database users can search for articles and other resources in specific topic areas using these tags.
Topic Tags Related to PCMH Principles. The first category of tags cover the seven principles of the medical home used in AHRQ’s definition of the medical home and in the principles of the PCMH set forth in March 2007 by the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association. These tags include the following:
- Patient Centered Care
- Comprehensive Care
- Care Coordination
- Access to Care
- System Approach to Quality and Safety
- Health Information Technology (Health IT)
- Cost and Reimbursement
Other PCMH Topics. Eleven additional topic tags were created to assist potential database users to find information on specific topics related to the development, implementation, and evaluation of the PCMH.
- Primary Care Workforce Issues
- Defining/Evaluating/Qualifying a Medical Home
- Evaluation Methods and Approaches
- Policy issues
- Implementation of the PCMH (implementation issues and evidence)
- Toolkits for providers or patients
- Practice Facilitation
- Specialty Medical Homes
- Team Based Health Care
Special Population Tags. These tags cover seven specific populations of interest to policymakers and researchers (e.g., children with special needs).
- Children with special needs
- Patients with multiple chronic conditions
- Patients with disabilities
- Patients with mental and behavioral health issues
- Medicare beneficiaries
- Medicaid recipients