Patient-Centered Medical Home Improves Delivery of Health Services to Adolescents and Young Adults

To determine if implementation of a patient-centered medical home (PCMH) model boosts the proportion of adolescents and young adults who receive recommended preventive services, investigators conducted a retrospective cohort study involving 21,704 patients aged 10–24 years enrolled in a county healthcare system in Minnesota. The patient population was predominantly Hispanic/Latino (43%) or black non-Hispanic (33%) and uninsured or receiving public insurance (89%).

In adjusted analyses, patients enrolled in clinics designated as PCMHs (3%) were not more likely than patients enrolled in non-PCMH clinics to have a preventive visit but were significantly more likely to receive meningococcal and human papillomavirus vaccines (adjusted odds ratio,…