JAMA : the journal of the American Medical Association
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JAMA
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Randomized Controlled Trial
Effect of an enhanced medical home on serious illness and cost of care among high-risk children with chronic illness: a randomized clinical trial.
Patient-centered medical homes have not been shown to reduce adverse outcomes or costs in adults or children with chronic illness. ⋯ Among high-risk children with chronic illness, an enhanced medical home that provided comprehensive care to promote prompt effective care vs usual care reduced serious illnesses and costs. These findings from a single site of selected patients with a limited number of clinicians require study in larger, broader populations before conclusions about generalizability to other settings can be reached.