The Patient-Centered Medical Home Model and Diabetes Outcomes: An Integrative Literature Review.

The purpose of this integrative review was to synthesize the existing evidence on diabetes care within a Patient-Centered Medical Home (PCMH) model to evaluate its effectiveness on quality outcomes. Literature published in English between 2005 and 2015 was searched using thefollowing keywords: PCMH and diabetes, comprehensive care, care coordination, patient-centered care, quality and safety, and accessible care. The following databases were searched: Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Cochrane Review, Academic Premier (EBSCO), and Psych INFO. The search yielded 96 articles; 11 were selectedfor review. The effects of the PCMH model on diabetes outcomes varied. The heterogeneity of the research designs, practice settings, and quality outcomes limited the generalizability of the findings. The evidence related to diabetes type 2 quality outcomes in a PCMH model is limited yet encouraging. However, future studies should consider longitudinal designs, where outcomes can be observed over a period of time.