Association between care delivery interventions to enhance access and patients' perceived access in the Comprehensive Primary Care Initiative.

Autor: Lin MP; Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: michelle.lin@mountsinai.org., MacDonald LQ; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA; Centers for Medicare & Medicaid Services, Baltimore, MD, USA., Jin J; Centers for Medicare & Medicaid Services, Baltimore, MD, USA., Reddy A; VA Puget Sound Healthcare System, Seattle, WA, USA; Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Jazyk: angličtina
Zdroj: Healthcare (Amsterdam, Netherlands) [Healthc (Amst)] 2020 Jun; Vol. 8 (2), pp. 100412. Date of Electronic Publication: 2020 Feb 24.
DOI: 10.1016/j.hjdsi.2020.100412
Abstrakt: The Comprehensive Primary Care (CPC) initiative was an alternative payment model implemented from 2012 to 2016 to strengthen primary care by enhancing core functions, including access to care. The association between interventions to enhance access and patients' perception of access is unknown. We performed a cross-sectional analysis of CPC practice surveys and CAHPS patient survey responses pertaining to access and timeliness in 2016. There were regional differences in both patients' perceptions of access and interventions to enhance access, but no association between interventions and patients' perceptions. Practices with fewer clinicians and whose patients had fewer chronic conditions had better perceived access.
Competing Interests: Declaration of competing interest None.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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