Table 1.

Summary of PICOS components

➢ Participants—primary care patients aged at least 18 years with one or more chronic disease  ➢ Intervention—AMA-recognised PCMH principles (must meet 1 and 2 criteria)  1) Integrated or MDT care AND  2) One or more of the following principles:  i. Coordination of care  ii. Data driven quality of care  iii. Long-term patient-provider relationship  iv. Patient empowerment and patient engagement  ➢ Comparison—standard primary care  ➢ Outcomes  i. Patient outcomes  ii. Hospital outcomes  iii. Economic outcomes  ➢ Study design—randomised controlled trials