TY - JOUR KW - Adolescent KW - Adult KW - Child KW - Diabetes Mellitus, Type 1/drug therapy/economics/psychology KW - Diabetes Mellitus, Type 2/drug therapy/economics/psychology KW - Female KW - Health Care Reform KW - Health Services Needs and Demand KW - Humans KW - Male KW - Middle Aged KW - Patient-Centered Care/economics/organization & administration KW - Primary Health Care KW - Quality of Health Care KW - Treatment Outcome KW - Young Adult AU - B. T. Jortberg AU - B. F. Miller AU - R. A. Gabbay AU - K. Sparling AU - W. P. Dickinson A1 - AB - Fragmentation of the current U.S. health care system and the increased prevalence of chronic diseases in the U.S. have led to the recognition that new models of care are needed. Chronic disease management, including diabetes, is often accompanied by a myriad of associated psychosocial issues that need to be addressed as part of a comprehensive treatment plan. Diabetes care should be aligned with comprehensive whole-person health care. The patient-centered medical home (PCMH) has emerged as a model for enhanced primary care that focuses on comprehensive integrated care. PCMH demonstration projects have shown improvements in quality of care, patient experience, care coordination, access to care, and quality measures for diabetes. Key PCMH transformative features associated with psychosocial issues related to diabetes reviewed in this article include integration of mental and behavioral health, care management/coordination, payment reform, advanced access, and putting the patient at the center of health care. This article also reviews the evidence supporting comprehensive and integrated care for addressing psychosocial issues associated with diabetes in the medical home. BT - Current diabetes reports C5 - Medical Home CP - 6 CY - United States DO - 10.1007/s11892-012-0316-1 IS - 6 JF - Current diabetes reports N2 - Fragmentation of the current U.S. health care system and the increased prevalence of chronic diseases in the U.S. have led to the recognition that new models of care are needed. Chronic disease management, including diabetes, is often accompanied by a myriad of associated psychosocial issues that need to be addressed as part of a comprehensive treatment plan. Diabetes care should be aligned with comprehensive whole-person health care. The patient-centered medical home (PCMH) has emerged as a model for enhanced primary care that focuses on comprehensive integrated care. PCMH demonstration projects have shown improvements in quality of care, patient experience, care coordination, access to care, and quality measures for diabetes. Key PCMH transformative features associated with psychosocial issues related to diabetes reviewed in this article include integration of mental and behavioral health, care management/coordination, payment reform, advanced access, and putting the patient at the center of health care. This article also reviews the evidence supporting comprehensive and integrated care for addressing psychosocial issues associated with diabetes in the medical home. PP - United States PY - 2012 SN - 1539-0829; 1534-4827 SP - 721 EP - 728 EP - T1 - Patient-centered medical home: how it affects psychosocial outcomes for diabetes T2 - Current diabetes reports TI - Patient-centered medical home: how it affects psychosocial outcomes for diabetes U1 - Medical Home U2 - 22961115 U3 - 10.1007/s11892-012-0316-1 VL - 12 VO - 1539-0829; 1534-4827 Y1 - 2012 ER -