Purpose
Health care reform in Vermont promotes patient-centered medical
homes (PCMH) and multi-disciplinary community health teams to support
population health.
Methods
This qualitative study describes the expansion of Vermont's
health care reform efforts, initially focused on adult primary care, to
pediatrics through interviews with project managers and facilitators, CHT
members, pediatric practitioners and care coordinators, and community-based
providers.
Results
Respondents shared three main challenges with health care reform
efforts: achieving PCMH recognition, adapting community health teams for
pediatric patients and families, and defining roles for care coordinators.
Conclusions
For health care reform efforts to support pediatric patients and
be family-centered, states may need additional resources to understand how
pediatric and adult primary care differ and how best to support pediatrics
during health care reform efforts.