SAGE Open Medicine | |
What matters in patient-centered medical home transformation: Whole system evaluation outcomes of the Brown Primary Care Transformation Initiative: | |
Roberta EGoldman1  | |
关键词: Patient-centered medical home; primary care transformation; primary care; evaluation outcomes; quantitative; qualitative evaluation; health services delivery; health-care delivery; | |
DOI : 10.1177/2050312118781936 | |
学科分类:医学(综合) | |
来源: Sage Journals | |
【 摘 要 】
Objectives:Patient-centered medical home transformation initiatives for enhancing team-based, patient-centered primary care are widespread in the United States. However, there remain large gaps in our understanding of these efforts. This article reports findings from a contextual, whole system evaluation study of a transformation intervention at eight primary care teaching practice sites in Rhode Island. It provides a picture of system changes from the perspective of providers, staff, and patients in these practices.Methods:Quantitative/qualitative evaluation methods include patient, provider, and staff surveys and qualitative interviews; practice observations; and focus groups with the intervention facilitation team.Results:Patient satisfaction in the practices was high. Patients could describe observable elements of patient-centered medical home functioning, but they lacked explicit awareness of the patient-centered medical home model, and their activation decreased over time. Providers’ and staff’s emo...
【 授权许可】
CC BY
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
RO201904027810404ZK.pdf | 226KB | download |