European Countries Surveyed About Application of PCMHs
March 21—A recent study examines how five European countries have adopted aspects of patient-centered medical homes (PCMHs), a U.S. comprehensive care model.
Researchers for the study, published online by Health Affairs, surveyed 6,428 chronically ill patients and 152 primary care providers in Belgium, Denmark, Germany, the Netherlands, and England to assess how PCMH aspects were applied in Europe. Although most patients reported they had a personal physician and no problems in contacting the physician practice after hours, for example, European physicians were less likely to provide patients with written self-management instructions, a feature expected to accompany PCMHs.
Between 87 and 98 percent of patients in Germany, Belgium, the Netherlands, and Denmark reported having a single primary care physician, but the rate was lower in England—74 percent—where more primary care tasks are typically delegated to nurses.
The study was supported by The Commonwealth Fund.
Publication Date: Thursday, March 21, 2013