Colorado Residency PCMH Project: Results From a 6-Year Transformation Effort
| Autor: | Dickinson Wp, Douglas H. Fernald, Linda C Montgomery, Emilie Buscaj, Miriam Dickinson, Jaclyn King, Bonnie T. Jortberg, Tristen Hall, Chandra Hartman |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Medical home
Quality management Colorado 030204 cardiovascular system & hematology Shared leadership 03 medical and health sciences 0302 clinical medicine Patient-Centered Care Surveys and Questionnaires Information system Humans Longitudinal Studies 030203 arthritis & rheumatology Medical education Primary Health Care Flexibility (personality) Internship and Residency Collaborative learning Continuity of Patient Care Quality Improvement Organizational Innovation Cross-Sectional Studies Facilitator Psychology Family Practice Qualitative research |
| Zdroj: | Family medicine. 51(7) |
| ISSN: | 1938-3800 |
| Popis: | Background and Objectives: Our objective was to describe the results of a 6-year patient-centered medical home (PCMH) transformation program in 11 Colorado primary care residency practices. Methods: We used a parallel qualitative and quantitative evaluation including cross-sectional surveys of practice staff and clinicians, group and individual interviews, meeting notes, and longitudinal practice facilitator field notes. Survey analyses assessed change over time, adjusting for practice-level random effects. Qualitative data analysis used iterative template coding and matrix analyses to synthesize data over time and across cases. Results: There were significant improvements in clinicians’ self-reported routine delivery of patient-centered care, team-based care, self-management support, and use of information systems (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|