Patient-Rated Access to Needed Care: Patient-Centered Medical Home Principles Intertwined

Brunner, Julian; Chuang, Emmeline; Washington, Donna L.; Rose, Danielle E.; Chanfreau‐Coffinier, Catherine; Darling, Jill; Canelo, Ismelda; Yano, Elizabeth M.

doi:10.1016/j.whi.2017.12.001

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…However, the results were mixed in terms of patients' self-reported experiences with access after PCMH implementation. Three studies reported improvements in patients' perceptions of their access to care (Brunner et al, 2018; Christensen et al, 2013; Schuttner et al, 2020). For example, Christensen et al (2013) found that patients within the PCMH scored survey responses regarding access significantly better than those in non-PCMH clinics.…”

Section: Resultsmentioning

confidence: 99%

The Value of the Patient-Centered Medical Home in Getting Adults Suffering From Acute Conditions Back to Work

Taylor-Clark¹,

Swiger²,

Hearld³

et al. 2021

Journal of Ambulatory Care Management

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Acute conditions are the leading cause of work restrictions and missed workdays, contributing to over $27 billion in lost productivity each year and negatively impacting workers' health and quality of life. Primary care services, specifically patient-centered medical homes (PCMHs), play an essential role in supporting timely acute illness or injury recovery for working adults. The purpose of this review is to synthesize the evidence on the relationship between PCMH implementation, care processes, and outcomes. In addition, we discuss the empirical connection between this evidence and return-to-work outcomes, as well as the need for further research.

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Section: Resultsmentioning

confidence: 99%

The Value of the Patient-Centered Medical Home in Getting Adults Suffering From Acute Conditions Back to Work

Taylor-Clark¹,

Swiger²,

Hearld³

et al. 2021

Journal of Ambulatory Care Management

View full text Add to dashboard Cite

show abstract

“…2,3 A recent study from the Veterans Health Administration (VHA) found that the use of telephone communication is strongly associated with higher patient perceptions of access. 4 To our knowledge, no studies have specifically examined rural patients' perceptions of access associated with telephone visits, especially for clinics with longer wait times for in-person visits. Our objective was to examine whether self-reported access to primary care is associated with actual clinic wait times and use of telephone visits, and to assess whether this relationship differs between rural and urban settings.…”

mentioning

confidence: 99%

The Effects of Telephone Visits and Rurality on Veterans Perceptions of Access to Primary Care

et al. 2019

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The objectives of this study were to examine if self-reported access to primary care is associated with actual patient wait times and use of telephone visits, and to assess whether this relationship differs by rural residence. Methods: This study used 2016 administrative data from 994 primary care clinics within the Veterans Health Administration. Multiple-linear regression was used to examine relationships between patient perceptions of access and average actual patient wait time, use of telephone visits, and rural residence. Average panel size, clinic type, and panel severity were included as model covariates with cross-product terms for actual wait time, telephone use, and rurality to test for interactions. Results: This study found patient perceptions of access aggregated at the clinic level to be conditional on the relationship between use of telephone visits, actual patient wait times, and rural residence. As actual wait time for routine appointments increases, Veterans served by clinics with a higher percent of rural Veterans perceive telephone visits more positively. Discussion: These findings contribute to our understanding of factors associated with patient perceptions of access by highlighting complex interrelationships between strategies intended to improve access to care and how they can have differing impacts on perceptions among those living in rural or urban locations.

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The role of healthcare system hassles in delaying or forgoing care

et al. 2020

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Patient-Rated Access to Needed Care: Patient-Centered Medical Home Principles Intertwined

Abstract: Access, communication, and care coordination are interrelated. Approaches to improving access may prove counterproductive if they compromise the team's ability to coordinate care, or diminish the team's role as a primary point of contact for patients.

Cited by 3 publications

References 33 publications

The Value of the Patient-Centered Medical Home in Getting Adults Suffering From Acute Conditions Back to Work

The Value of the Patient-Centered Medical Home in Getting Adults Suffering From Acute Conditions Back to Work

The Effects of Telephone Visits and Rurality on Veterans Perceptions of Access to Primary Care

The role of healthcare system hassles in delaying or forgoing care

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