Do Patient-Centered Medical Homes Enhance Patients' Medication Adherence? Findings on the Next Frontier in Quality Improvement
Authors: Michele Heisler
Journal: Annals of Internal Medicine (2016)

Editorials17 January 2017Do Patient-Centered Medical Homes Enhance Patients' Medication Adherence? Findings on the Next Frontier in Quality ImprovementMichele Heisler, MD, MPAMichele Heisler, MD, MPAFrom University of Michigan and VA Ann Arbor Healthcare System, Ann Arbor, Michigan.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M16-2397 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Imagine distinctly different primary care visits in which 2 patients are each prescribed a new blood pressure medication. Mr. Smith has a clinic visit with a physician he does not know well or trust. The physician tells him he needs a new medication and hands him a prescription with little explanation or effort to elicit his understanding. He is scheduled for a return visit, with no follow-up contact before then. In contrast, Ms. Jones meets with her physician, with whom she has a long-standing relationship. That physician also prescribes a new medication, but only after carefully reviewing with Ms. Jones ...References1. Nieuwlaat R, Wilczynski N, Navarro T, Hobson N, Jeffery R, Keepanasseril A, et al. Interventions for enhancing medication adherence. Cochrane Database Syst Rev. 2014:CD000011. [PMID: 25412402] doi:10.1002/14651858.CD000011.pub4 CrossrefMedlineGoogle Scholar2. Viswanathan M, Golin CE, Jones CD, Ashok M, Blalock SJ, Wines RC, et al. Interventions to improve adherence to self-administered medications for chronic diseases in the United States: a systematic review. Ann Intern Med. 2012;157:785-95. [PMID: 22964778]. doi:10.7326/0003-4819-157-11-201212040-00538 LinkGoogle Scholar3. Cutler DM, Long G, Berndt ER, Royer J, Fournier AA, Sasser A, et al. The value of antihypertensive drugs: a perspective on medical innovation. Health Aff (Millwood). 2007;26:97-110. [PMID: 17211019] CrossrefMedlineGoogle Scholar4. National Committee for Quality Assurance. Patient-Centered Medical Home Recognition. Washington, DC: National Committee for Quality Assurance. Accessed at www.ncqa.org/Programs?Recognition?Practices/PatientCenteredMedicalHomePCMH.aspx on 6 October 2016. Google Scholar5. Jackson GL, Powers BJ, Chatterjee R, Bettger JP, Kemper AR, Hasselblad V, et al. Improving patient care. The patient centered medical home. A systematic review. Ann Intern Med. 2013;158:169-78. [PMID: 24779044]. doi:10.7326/0003-4819-158-3-201302050-00579 LinkGoogle Scholar6. Beadles CA, Farley JF, Ellis AR, Lichstein JC, Morrissey JP, DuBard CA, et al. Do medical homes increase medication adherence for persons with multiple chronic conditions? Med Care. 2015;53:168-76. [PMID: 25517069] doi:10.1097/MLR.0000000000000292 CrossrefMedlineGoogle Scholar7. Lauffenburger JC, Shrank WH, Bitton A, Franklin JM, Glynn RJ, Krumme AA, et al. Association between patient-centered medical homes and adherence to chronic disease medications. A cohort study. Ann Intern Med. 2017;166:81-8. doi:10.7326/M15-2659 LinkGoogle Scholar8. Choudhry NK, Avorn J, Glynn RJ, Antman EM, Schneeweiss S, Toscano M, et al; Post-Myocardial Infarction Free Rx Event and Economic Evaluation (MI FREEE) Trial. Full coverage for preventive medications after myocardial infarction. N Engl J Med. 2011;365:2088-97. [PMID: 22080794] doi:10.1056/NEJMsa1107913 CrossrefMedlineGoogle Scholar9. Landon BE. Structuring payments to patient-centered medical homes. JAMA. 2014;312:1633-4. [PMID: 25335142] doi:10.1001/jama.2014.9529 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Michigan and VA Ann Arbor Healthcare System, Ann Arbor, Michigan.Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-2397.Corresponding Author: Michele Heisler, MD, MPA, Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Road (152), Ann Arbor, MI 48109.This article was published at www.annals.org on 15 November 2016. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociation Between Patient-Centered Medical Homes and Adherence to Chronic Disease Medications Julie C. Lauffenburger , William H. Shrank , Asaf Bitton , Jessica M. Franklin , Robert J. Glynn , Alexis A. Krumme , Olga S. Matlin , Edmund J. Pezalla , Claire M. Spettell , Gregory Brill , and Niteesh K. Choudhry Metrics Cited byPatient-centered medical homes improve adherence 17 January 2017Volume 166, Issue 2Page: 146-147KeywordsBlood pressureCholesterolHealth careHealth information technologyPatientsPharmacistsPrevention, policy, and public healthQuality improvementResearch quality assessmentTreatment guidelines ePublished: 15 November 2016 Issue Published: 17 January 2017 PDF downloadLoading ...