We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Note |

Hope for Decreasing Socioeconomic Disparities

Mitchell H. Katz, MD
JAMA Intern Med. 2015;175(4):607. doi:10.1001/jamainternmed.2014.8270.
Text Size: A A A
Published online


All patients would benefit from having a patient-centered medical home. However, Markovitz and colleagues1 show that low-income patients may benefit more than others. Using data from adult primary care physician practices in Michigan, they show that the increases in cancer screening associated with patient-centered medical homes are greater for low-income persons.

Their results intuitively make sense. Low-income persons have lower rates of receipt of preventive services owing to decreased access to medical care, lower literacy rates, language barriers, problems with transportation, increased life stress, and difficulty meeting copayments. When they are successful, patient-centered medical homes improve access and care coordination, which may help low-income patients in overcoming obstacles to receipt of preventive services. Moreover, a key ingredient of patient-centered medical homes is an electronic record system that allows for panel management: the ability to determine which patients need prevention screening without the patient having to come in first for a visit. Once such patients are identified, they can be telephoned or notified by mail to come in and receive screening. Sometimes the screening can be done entirely by mail (eg, fecal immunochemical testing for colon cancer screening), or a visit for a specific test (eg, mammogram) can be made without a primary care visit.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...