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Invited Commentary
August 2015

Does PCMH “Work”?—The Need to Use Implementation Science to Make Sense of Conflicting Results

Author Affiliations
  • 1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, North Carolina
  • 2Division of General Internal Medicine, Duke University, Durham, North Carolina
JAMA Intern Med. 2015;175(8):1369-1370. doi:10.1001/jamainternmed.2015.2067

Much as clinical research has the goal of helping clinicians improve their decision making for individual patients, health services research has the ultimate goal of helping managers and policy makers make better decisions for their organizations and constituents. Many managers of third-party-payer and provider organizations want to know if the patient-centered medical home (PCMH) framework for providing primary care “works” so they can decide if the significant effort involved in PCMH implementation is worth the potential benefits.