Impact of Patient-Centered Medical Home Transformation on Providers, Staff, and Quality

Autor: John S Clark, Wallace E Johnson, Robert J. Fortuna, Sheri Flynn, Stephen R Judge, Susan Messing
Rok vydání: 2020
Předmět:
Zdroj: Population health management. 24(2)
ISSN: 1942-7905
Popis: The Patient-Centered Medical Home (PCMH) has become a widely implemented model to transform the delivery of care, but little evidence exists regarding the model's impact on providers, nurses, and staff. This study examined the impact of the PCMH model on (1) provider and staff satisfaction, (2) work-life balance, (3) teamwork, (4) professional experience, (5) patient care factors, and (6) quality outcomes. The authors confidentially surveyed physicians, advanced practice providers (APPs), nurses, care managers, and office staff in 2011 prior to implementation of the PCMH model and in 2016 after implementation at 34 primary care offices providing care to 171,045 patients. A total of 349 pre-PCMH implementation surveys (84% response rate) and 549 follow-up surveys (92% response rate) were received. Implementation of the PCMH model did not result in changes in provider, nurse, and staff responses to composite measures of satisfaction (
Databáze: OpenAIRE