PCMHs not right for everyone

August 9, 2013

A reader argues that the Patient-Centered Medical Home model is not appropriate for all primary care practices.

Medical homes may be right for Stephen F. Staten, MD and his medical practice (“Medical Homes Are Right For Primary Care,” letter, June 10, 2013) but they are not right for all primary care practices.

The potential benefits that he touts may accrue to large medical groups that can afford the added costs of hiring additional administrative staff. Small groups cannot afford to do so. Besides, many patients (and physicians) prefer a small group because of the familiarity and personal approach which are often lost in larger group practices.

This may not correspond to the author’s residency training  but many small groups serve their patients well even though they do not call  themselves “medical homes.”

Edward Volpintesta, MD

Bethel, Connecticut