A systematic review of the challenges to implementation of the patient-centred medical home: lessons for Australia

Janamian, Tina, Jackson, Claire L., Glasson, Nicola and Nicholson, Caroline (2014) A systematic review of the challenges to implementation of the patient-centred medical home: lessons for Australia. Medical Journal of Australia, 201 Supp. 3: S69-S73. doi:10.5694/mja14.00295

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Author Janamian, Tina
Jackson, Claire L.
Glasson, Nicola
Nicholson, Caroline
Title A systematic review of the challenges to implementation of the patient-centred medical home: lessons for Australia
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
1326-5377
Publication date 2014-07-21
Year available 2014
Sub-type Article (original research)
DOI 10.5694/mja14.00295
Open Access Status Not yet assessed
Volume 201
Issue Supp. 3
Start page S69
End page S73
Total pages 5
Place of publication Strawberry Hills, NSW, Australia
Publisher Australasian Medical Publishing
Language eng
Abstract Objective: To review the available literature to identify the major challenges and barriers to implementation and adoption of the patient-centred medical home (PCMH) model, topical in current Australian primary care reforms.
Formatted abstract
Objective: To review the available literature to identify the major challenges and barriers to implementation and adoption of the patient-centred medical home (PCMH) model, topical in current Australian primary care reforms.

Study design: Systematic review of peer-reviewed literature.

Data sources: PubMed and Embase databases were searched in December 2012 for studies published in English between January 2007 and December 2012.

Study selection: Studies of any type were included if they defined PCMH using the Patient-Centered Primary Care Collaborative Joint Principles, and reported data on challenges and barriers to implementation and adoption of the PCMH model.

Data extraction: One researcher with content knowledge in the area abstracted data relating to the review objective and study design from eligible articles. A second researcher reviewed the abstracted data alongside the original article to check for accuracy and completeness.

Data synthesis: Thematic synthesis was used to in three stages: free line-by-line coding of data; organisation of “free codes” into related areas to construct “descriptive” themes and develop “analytical” themes. The main barriers identified related to: challenges with the transformation process; difficulties associated with change management; challenges in implementing and using an electronic health record that administers principles of PCMH; challenges with funding and appropriate payment models; insufficient resources and infrastructure within practices; and inadequate measures of performance.

Conclusion: This systematic review documents the key challenges and barriers to implementing the PCMH model in United States family practice. It provides valuable evidence for Australian clinicians, policymakers, and organisations approaching adoption of PCMH elements within reform initiatives in this country.
Keyword Medicine, General & Internal
General & Internal Medicine
MEDICINE, GENERAL & INTERNAL
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Also known as "A systematic review of the challenges and barriers to implementation and adoption of the patient-centered medical home: lessons for Australian primary health care reform".

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
Official 2015 Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 6 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 8 times in Scopus Article | Citations
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Created: Fri, 04 Jul 2014, 01:22:54 EST by Claire Jackson on behalf of Discipline of General Practice