The Patient-centered Medical Home Movement — Promise and Peril for Family Medicine

John C. Rogers, MD, MPH, MEd


J Am Board Fam Med. 2008;21(5):370-374. 

In This Article


"Strengthen the Core and Stimulate Progress: Assembling Patient-Centered Medical Homes" was the theme of my year as the Society of Teachers of Family Medicine President for 2007 to 2008. I advocated strongly for the patient-centered medical home (PCMH), especially its relevance to the educational experiences in our teaching practices.[1,2,3,4,5,6,7] Realizing the risk of being accused of "flip-flopping" on this issue, I do not think it would be prudent to continue to enthusiastically embrace this movement without some reflection and analysis. Although it is not a novel approach, I think an analysis of strengths, weaknesses, opportunities, and threats is in order. Here I will review briefly what I consider family medicine's internal strengths and weakness related to the PCMH and the external opportunities and threats the PCMH movement presents to family medicine. I will end with a general action agenda.


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