The study by Mosquera and colleagues1 in this issue of JAMA describes a thoughtful and well-implemented randomized clinical trial of a comprehensive outpatient management program for children with complex chronic conditions compared with usual community care. Other studies have shown associations of medical home models with substantial savings in health care use, improved care, or both.2,3 However, this study advances knowledge about the patient-centered medical home because it used a stronger design, a randomized clinical trial, than most previous work and includes outcomes important to clinicians, policy makers, and patients.
Perrin JM. Patient-Centered Medical Home for High-Risk Children With Chronic Illness. JAMA. 2014;312(24):2625-2626. doi:10.1001/jama.2014.16514