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Patient-centered medical home and integrated care in the United States: An opportunity to maximize delivery of primary care
  1. Sandra J. Gonzalez,
  2. Maria C. Mejia de Grubb and
  3. Roger J. Zoorob
  1. Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, USA
  1. Corresponding Author: Sandra J. Gonzalez, MSSW, LCSW Department of Family and Community Medicine, 3701 Kirby Drive, Suite 600 Houston, TX 77098, USA Tel.: +713-798-3633 E-mail: Sandra.Gonzalez{at}


The reciprocal relationship between mental and physical health is well established. Undiagnosed, untreated, and poorly managed mental health conditions are associated with numerous physical health complications, poor treatment adherence, and decreased quality of life. Despite growing evidence regarding the importance of effectively addressing these conditions in primary care, the rates of identification remain low and follow-up and management by primary care providers has been criticized. The objective of this review was to demonstrate the role of Patient-Centered Medical Home (PCMH) and mental health integration in addressing comprehensive health care needs in primary care patients, and to describe common barriers and facilitators to the implementation of these types of programs.

  • Patient-centered medical home
  • integrated primary care
  • health care service delivery
  • mental health
  • chronic disease management
  • behavioral health integration

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See

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