Abstract
Background/Aims: Organizing cost-effective patient-centered care for individuals with complex medical and social needs continues to be challenging for many health care systems. The patient-centered medical home (PCMH) is a popular model that emphasizes enhanced access to team-based comprehensive and coordinated care that actively engages patients and their families in self-care and that which is supported by appropriate tools and technologies to facilitate proactive population-based management. Operationalizing these core principles into sustainable practice beyond mere attainment of national recognition is still the subject of intensive experimentation across many health systems, including Kaiser Permanente Southern California (KPSC). The aim of this study is to evaluate the effects of an enhanced PCMH care model at one medical center in KPSC.
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