Findings From a Commercial ACO Patient Experience Survey
| Autor: | David W Cowling, Hui Zhang, Joanne M Graham |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
accountable care
medicine.medical_specialty Health (social science) Leadership and Management media_common.quotation_subject integrated delivery Logistic regression primary care 03 medical and health sciences 0302 clinical medicine Patient experience Health care medicine Quality (business) 030212 general & internal medicine media_common lcsh:R5-920 business.industry 030503 health policy & services Health Policy Emergency department Odds ratio Preferred provider organization patient experience survey Family medicine Accountable care lcsh:Medicine (General) 0305 other medical science business Research Article |
| Zdroj: | Journal of Patient Experience Journal of Patient Experience, Vol 8 (2021) |
| ISSN: | 2374-3743 2374-3735 |
| DOI: | 10.1177/23743735211007833 |
| Popis: | Accountable care organizations (ACO) emerge each year aiming to improve care quality while controlling rising health care costs. This cross-sectional study examined whether ACO arrangements within a Preferred Provider Organization and a Health Maintenance Organization (HMO) effected patient experience. A modified Consumer Assessment of Healthcare Providers and Systems ACO survey was used to assess care domain differences overall and by product. The association between ACO and non-ACO populations and items in each significant care domain, flu vaccination, and delayed and emergency department care are explored using multivariable logistic regression. Accountable care organizations patients were more likely to report it was easy to get a specialist appointment (adjusted odds ratio [AOR], 1.54; 95% CI = 1.11-2.13), less likely to report visiting the emergency department for care (AOR, 0.70; 95% CI = 0.55-0.90) and communicating with their provider using technology (AOR, 0.79; 95% CI = 0.65-0.96). Reported experience differed for Access to Specialists between ACO and non-ACO groups among overall and HMO respondents (79.4% vs 74.7% and 79.9% vs 75.5%, P < .05, respectively). The ACO patient experience was not substantially better. Strategies incorporating satisfaction and experience, whether linked to contracts or not, should be encouraged given ACOs goal to optimize patient care. Survey instruments must be improved to capture nuances of provider care and patient bond that is vital in ACO integrated systems. |
| Databáze: | OpenAIRE |
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