If the challenges facing individual practices moving toward the patient-centered medical home concept were not already daunting enough, a study published in June presents a new wrinkle: Patients may not like the new approach to care.

Researchers asked 393 physician practices whether they implemented medical-home elements such as team-based care, electronic health records, disease registries, clinical decision support, quality measurement, patient reminders, email access and group visits. Then they surveyed 1,304 patients who received care at those clinics about their experience during the last six months. The study, published online June 7 in the journal Health Services Research, found no association between a clinic’s use of patient-centered medical home processes and patients’ satisfaction with care.

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