| Elements of the patient-centered medical home in family practices in Virginia. | |
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MedLine Citation:
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PMID: 19597167 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The patient-centered medical home (PCMH) is a widely accepted theory of a practice model to improve quality of care, patient satisfaction, and access to primary care services. This study explores existing elements of the PCMH and characteristics of family practices in Virginia. METHOD: We developed and administered a survey questionnaire to capture information on practice characteristics and PCMH elements. We randomly sampled 700 family medicine offices in Virginia from a population of practices derived from the Virginia Board of Medicine Practitioner Information Database. We used a mixed-mode survey, allowing practices in the sample to respond by mail or Internet or at a regional family medicine conference. RESULTS: The survey resulted in a response rate of 56%, with 342 office locations participating in the study. Most practices reported continuity-of-care processes (87%) and clinical guidelines (77%). Fewer reported use of patient surveys (48%), electronic medical record for internal coordination (38%), community linkages for care (31%), and clinical performance measurement (28%). A small number reported patient registries for multiple diseases (19%). Very few practices exhibited all elements outlined in the PCMH model (1%). Practice size (number of physicians) is significantly related to PCMH model alignment. CONCLUSIONS: Most family practices in Virginia exhibit some elements of the PCMH model. Full implementation of the PCMH model is low. Baseline information on practice characteristics, prevalence of PCMH, and challenges of small practices should be considered in guiding efforts, evaluating progress, and developing policies for care model reform. |
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Authors:
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Debora Goetz Goldberg; Anton J Kuzel |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of family medicine Volume: 7 ISSN: 1544-1717 ISO Abbreviation: Ann Fam Med Publication Date: 2009 Jul-Aug |
Date Detail:
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Created Date: 2009-07-14 Completed Date: 2009-11-03 Revised Date: 2010-09-27 |
Medline Journal Info:
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Nlm Unique ID: 101167762 Medline TA: Ann Fam Med Country: United States |
Other Details:
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Languages: eng Pagination: 301-8 Citation Subset: IM |
Affiliation:
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Departments of Family Medicine and Health Administration, Virginia Commonwealth University, Richmond, Virginia, USA. goetzdc@vcu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cross-Sectional Studies Delivery of Health Care / methods, organization & administration* Family Practice / methods, organization & administration*, statistics & numerical data Health Care Surveys Humans Patient Care Team / organization & administration Patient-Centered Care / methods, organization & administration* Quality of Health Care Regression Analysis Virginia |
| Comments/Corrections | |
Erratum In:
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Ann Fam Med. 2009 Sep-Oct;7(5):467 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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