Enriching Patient-Centered Medical Homes Through Peer Support

Area of Science:

• Health Services Research
• Community Health
• Patient Engagement

Background:

• Peer supporters, including community health workers, offer valuable support but are underutilized in patient-centered medical homes (PCMHs).
• Evidence supports peer support efficacy at the community level, yet integration into primary care settings remains a challenge.

Purpose of the Study:

• To outline key elements for integrating peer support into PCMHs.
• To address the functions, implementation strategies, and fiscal models for peer support programs within PCMHs.

Main Methods:

• The article reviews the functions and features of peer support interventions.
• It proposes an organizational model for implementation and evaluation.
• It discusses various programmatic strategies and fiscal models for sustainability.

Main Results:

• Peer support functions include managing health behaviors, providing emotional support, linking to care, and offering ongoing assistance.
• Implementation strategies involve peer coaching, group training, and technology-assisted programs.
• Fiscal models suggest partnerships with healthcare systems and community organizations.

Conclusions:

• Integrating peer supporters can activate patients in self-care and improve culturally sensitive outreach within PCMHs.
• Strategic implementation and diverse funding streams are crucial for the sustained success of peer support programs in primary care.