The NSCH patient-centered medical home scale: A measurement history, critique, and commentary

ABSTRACT

The origins of the questions comprising the patient-centered medical home (PCMH) measure in the National Survey of Children’s Health (NSCH) and its psychometric properties are not well documented. We conducted a narrative review to identify the origins of the PCMH questions and summarize the existing literature on the psychometrics of the PCMH measure. We found that the PCMH measure is a composite of questions from five other surveys. There is limited literature regarding the validity and reliability of the measure, though the existing evidence supports confidence in the PCMH measure; however, important questions remain.

Disclosure statement

No potential conflict of interest was reported by the authors.

Contributor’s statement

Phillip Hughes conceptualized and designed the study, collected data, carried out the initial analysis, drafted the initial manuscript, and reviewed and revised the manuscript.

Drs Graaf and Thomas conceptualized and designed the study, drafted the initial manuscript, and reviewed and revised the manuscript.

All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.

Additional information

Funding

This research was partially supported by a National Research Service Award Pre-Doctoral/Post-Doctoral Traineeship from the Agency for Healthcare Research and Quality sponsored by The Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Grant No. T32-HS000032. The funder played no role in the planning, conducting, writing, or decision to publish the study.