Document Type

Capstone Experience

Graduation Date

8-2022

Degree Name

Master of Public Health

Department

Health Promotion

First Committee Member

Brandon Grimm, PhD, MPH

Second Committee Member

David Palm, PhD

Third Committee Member

Tinna Therrien, RN, BSN, CPHIMS

Abstract

Health care spending in the United States continues to increase at a pace that far exceeds inflation. Representing a greater proportion of the nation’s gross domestic product (GDP) than any other country, costs associated with health care services in the U.S. lend support to growing concern regarding the sustainability of current systems. Furthermore, the fragmented nature of the current landscape often presents challenges to the provision of high-quality and efficient care. Satisfaction among both patients and health care providers, alike, suffers under the weight of increasing regulatory burden, the lack of integrated medical records systems, and growing complexity among health insurance payer programs. The patient-centered medical home (PCMH) model proposes a variety of strategies to improve coordination among health care services, reduce utilization of higher acuity services, and promote increased satisfaction for patients within the continuum of care. This Systematic Literature Review (SLR) seeks to highlight the strategies proposed within the PCMH model and provide an analysis of available data surrounding these claims of improved outcomes and reduced costs.

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