Initiatives to Enhance Primary Care Delivery: Two Examples From the Field

Health Services Research & Managerial Epidemiology

Jan L.Losby¹ 

关键词: primary care;    quality improvement;    medical residents;    community health workers;    program evaluation;    case study;   

DOI  :  10.1177/2333392814567352

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objectives:Increasing demands on primary care providers have created a need for systems-level initiatives to improve primary care delivery. The purpose of this article is to describe and present outcomes for 2 such initiatives: the Pennsylvania Academy of Family Physicians’ Residency Program Collaborative (RPC) and the St Johnsbury Vermont Community Health Team (CHT).Methods:Researchers conducted case studies of the initiatives using mixed methods, including secondary analysis of program and electronic health record data, systematic document review, and interviews.Results:The RPC is a learning collaborative that teaches quality improvement and patient centeredness to primary care providers, residents, clinical support staff, and administrative staff in residency programs. Results show that participation in a higher number of live learning sessions resulted in a significant increase in patient-centered medical home recognition attainment and significant improvements in performance in diabetic process measu...

【 授权许可】

CC BY