It’s no surprise that a recent study found that patients had gotten lost in the shuffle in medical homes. Patients get lost in the shuffle in virtually all attempted fixes for health care. While medical homes offer many benefits over care that is less coordinated, they still tend to focus on what doctors/nurses/others do rather than on the impact of their actions on the patient and whether they advance the patients’ goals.
See Killer Cure: Why health care is the second leading cause of death in America and how to ensure that it’s not yours. Chapter Thirteen, “The Blind Men and the Elephant,” discusses twelve fixes for health care and why their failure to focus on the patient means that they can’t possibly succeed as planned today.