Survey: Pediatricians value medical home but face challenges
from the AAP Department of Research
New research using data from an AAP Periodic Survey of Fellows shows that pediatricians
clearly support the value of family-centered medical home (FCMH) principles, but they
also experience barriers to implementation (Tschudy MM, et al. Pediatrics. 2016;138:e20153458, http://bit.ly/2dFu1Am).
In the survey, pediatricians were asked about their attitudes concerning FCMH principles
(see table). Three of four pediatricians reported agreement or strong agreement that
having a FCMH encourages patient use of preventive care and decreases unnecessary
or preventable use of the emergency department or hospitalizations. Eighty percent
of pediatricians further agreed or strongly agreed that having a FCMH improves children’s
Pediatrician attitudes concerning family-centered medical homes
Having a family-centered medical home…
Disagree or strongly disagree
Agree or strongly agree
Improves children’s health care.
Encourages patient use of preventive care.
Decreases unnecessary or preventable use of the emergency department or hospitalizations.
Source: Tschudy MM, et al. Pediatrics. 2016;138:e20153458.
Twelve percent of pediatricians worked in practices that had applied for formal patient-centered
medical home recognition or accreditation. Sixty-one percent reported that their practice
had not applied, while 27% did not know whether their practice had applied. No association
was found, however, between pediatricians’ medical home attitudes and whether their
practice was formally recognized or accredited.
Pediatricians reported experiencing barriers to FCMH implementation. The most commonly
reported barrier was a lack of sufficient/appropriate personnel to facilitate the
components of the FCMH (58%). This was followed by a lack of time to make the practice
changes necessary to adopt a FCMH (43%). Roughly one in 10 pediatricians reported
not having the communication skills needed to lead coordinated care activities.
Periodic Survey #79 was conducted from September 2011 to February 2012. Surveys were
mailed to 1,622 non-retired AAP members in the U.S., with a response rate of 59%.
Responses were based on 572 respondents who provide primary care in an ambulatory
office-based or clinic-based setting.