Transforming into a patient-centered medical home: Understanding facilitators, barriers and context from a synthesis of implementation studies

Methods A meta-synthesis of qualitative findings from implementation evaluations and experiences of adult PCMH transformation in pilots/demonstrations, including national, multi-state and single state demonstrations. The majority of practices represented family or internal medicine with an average of 14.1 practices per demonstration (range: 1-36). Most were mixed-methods evaluations and included: site visits, observations, interviews, and focus groups. The mean number of interview respondents was 64.5.