Improving colon cancer screening rates in primary care: a pilot study emphasising the role of the medical assistant

Baker, Anna; Parsons, Matthew; Donnelly, Sharon; Johnson, Lindsay; Day, Julie; Mervis, Annie; James, Brent C.; Burt, Randall W.; Magill, Michael K.

doi:10.1136/qshc.2008.027649

Cited by 42 publications

(29 citation statements)

References 24 publications

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“…4,5,7 Outcomes in studies that have focused on or included MA role expansion or innovation have varied. Some pilot programs have found improvements in cancer screenings 4,6 , cholesterol levels 21 , diabetes control 11,21 , medication adherence 19 , physical activity levels and body mass index. 9 However, Ferrer and colleagues 2 found that there was poor adoption of MA health coaching, and several randomized trials testing the effects of MA diabetes health coaches found no significant differences in hemoglobin A1C levels or hospitalizations between control and intervention group patients.…”

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confidence: 99%

“…iors 2 , track lab reports 3 , identify preventive and chronic care gaps [3][4][5] , outreach to patients for cancer screenings 6 , call patients after emergency department visits or hospitalizations 3 , reconcile medications 7 , scribe clinical encounters in electronic medical records 1 , offer HIV screenings 8 , and administer vaccinations per protocol. 5 They also serve as health coaches to improve lifestyle behaviors 9 , chronic disease care processes 3,10 -18 , and medication adherence.…”

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confidence: 99%

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Barriers and Facilitators to Expanding Roles of Medical Assistants in Patient-Centered Medical Homes (PCMHs)

et al. 2018

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Background: Many primary care practices participating in patient-centered medical home (PCMH) transformation initiatives are expanding the work roles of their medical assistants (MAs). Little is known about attitudes of MAs or barriers and facilitators to these role changes.Methods: Secondary data analysis of qualitative cross-case comparison study of 15 New Jersey primary care practices participating in a PCMH project during 2012 to 2013. Observation field notes and in-depth and key informant interviews (with physicians, office managers, staff and care coordinators) were iteratively analyzed using grounded theory.Results: MA roles and responsibilities changed from a mostly reactive role, completing tasks dependent on physician orders during the patient visit and facilitating patient flow through the office, to a more proactive one, conducting previsit planning, engaging in the overall care for patients, and assisting with population management. MAs differed in their attitudes about increased responsibilities, with some welcoming the opportunity to take on expanded roles, others resenting their increased responsibilities, and some expressing insufficient understanding regarding why new tasks and procedures were being implemented.

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confidence: 99%

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confidence: 99%

Barriers and Facilitators to Expanding Roles of Medical Assistants in Patient-Centered Medical Homes (PCMHs)

et al. 2018

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“…These are precisely the topics most discussed in the literature (8)(9)(10)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31) in the context of clinical practice in primary care and its relationship to specialized care in gastroenterology. Also common were consultations on intestinal transit disorders, mainly diarrhea, as well as problems related to interpretation hepatitis virus serologies or monitoring of chronic liver disease of viral etiology and other situations of chronic hypertransaminasemia.…”

Section: Care Reasons For Consultationmentioning

confidence: 99%

Periodic gastroenterology and hepatology meetings with primary care: reasons for consultation

Mata-Román¹,

Olmo-Martínez²,

Briso-Montiano³

et al. 2013

Rev. esp. enferm. dig.

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Introduction: care overload, aging of population, and increased chronic diseases lead to increased referrals from primary care, which may sometimes overload the health system. Thus, different interventions have been carried out attempting to improve these aspects.Objectives: to assess the most frequent causes of consultation of general physicians, both in joint consultations and clinical sessions held jointly with specialist consultant in primary care, in the urban and rural setting, and the influence on referrals to first consultations of gastroenterology.Material and methods: a mainly training type of intervention was carried out, consisting of regular meetings in both urban and rural primary care center, to perform joint consultations and clinical sessions on patients and topics related to the specialty of gastroenterology. The intervention period (divided in two subperiods) was compared with a control period.Results: most reasons for consultation were those corresponding to lower gastrointestinal tract, followed by liver disease and upper gastrointestinal tract. Significant differences were only found in distribution of diagnoses between the two centers in joint consultations. There was a relative (percent) decrease in referrals at the global level in both subperiods, only significant in the first (51.45 %), as well as in rural setting (45.24 %).Conclusion: common consultations motifs were similar in urban and rural settings, with some relevance of lower gastrointestinal tract disease. Most of them can be solved at primary care, with the help of consultant specialist. There is impact on referrals to the outpatient first consultations of gastroenterology, mainly in rural setting.

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“…Implementation of panel management has been linked to improvements across multiple quality measures, including rates of cancer screening, immunizations, diabetes care, cardiovascular disease care, blood pressure control, and smoking cessation counseling. [13][14][15][16][17][18][19][20] Panel management is emerging as a prominent component of transformed models of high-performing primary care 21 and is a requirement for achieving recognition as a patient-centered medical home. 22 In this environment, it is important to define and measure how clinics are achieving new care models.…”

Section: Introductionmentioning

confidence: 99%

The Panel Management Questionnaire: A Tool to Measure Panel Management Capability

Rogers

Hessler

Dubé

et al. 2015

TPJ

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Improving colon cancer screening rates in primary care: a pilot study emphasising the role of the medical assistant

Abstract: The MA can play a key role in improving CRC screening rates as part of a redesigned system of primary care.

Cited by 42 publications

References 24 publications

Barriers and Facilitators to Expanding Roles of Medical Assistants in Patient-Centered Medical Homes (PCMHs)

Barriers and Facilitators to Expanding Roles of Medical Assistants in Patient-Centered Medical Homes (PCMHs)

Periodic gastroenterology and hepatology meetings with primary care: reasons for consultation

The Panel Management Questionnaire: A Tool to Measure Panel Management Capability

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