What matters in patient-centered medical home transformation: Whole system evaluation outcomes of the Brown Primary Care Transformation Initiative:

SAGE Open Medicine

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