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Patients Use the Internet to Enter the Medical Home

Wasson, John H. MD; Benjamin, Regina MD, MBA; Johnson, Deborah MHA; Moore, L. Gordon MD; Mackenzie, Todd PhD

The Journal of Ambulatory Care Management: January/March 2011 - Volume 34 - Issue 1 - p 38–46
doi: 10.1097/JAC.0b013e3181fff641
Issue on the Medical Home: Original Article

There is a large gap between the promise of patient-centered medical home (PCMH) and our current capacity to define and measure it. The purpose of this article is to describe the findings of “real-time” patient-reported data about constructs of the PCMH and to demonstrate how an Internet-based method can be useful for obtaining patient report about the PCMH. We find that patients' Internet ratings seem stable and demonstrate relationships that fit constructs and models for the PCMH. We also find that current PCMH performance across this sample of 69 clinical settings is highly variable and still leaves a great deal of room for improvement.

Dartmouth Medical School, Hanover, New Hampshire (Drs Wasson, Johnson, and Mackenzie); Bayou Labatre Rural Health Clinic, Alabama (Dr Benjamin); and (Dr Moore). Sponsored in part by: a Robert Wood Johnson initiative entitled “Advancing Measurement of Equity and Patient-Centered Care to Improve Health Care Quality”; a Commonwealth Fund initiative entitled “Engaging Quality Improvement Organizations in the Attainment of Patient-Centered Care”; and the Physicians Foundation for Health System Excellence.

Correspondence: John H. Wasson MD, Departments of Community and Family Medicine and Medicine, 46 Centerra Parkway, Room 241, Dartmouth Medical School, Lebanon, NH 03766 (

Special acknowledgement for the primary care practices that compared their patients' responses to information in the medical record: Scott Anders and Sherry Causey, Bennettsville Center, Bennettsville, South Carolina; John Brady, The Village Doctor, Newport News, Virginia; Tim McCann and Tina M. Coleman, St. Louis, Missouri; Leah Satcher, Bayou La Batre Rural Health Clinic, Bayou La Batre, Alabama; Todd Craig and Charlet Wellenkamp, McAuley Clinic, Washington, Missouri; and Michelle Eads, Pinnacle Family Medicine, Colorado Springs, Colorado.

© 2011 Lippincott Williams & Wilkins, Inc.