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 |
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Rok vydání: | 2020 |
Předmět: |
Medical home
Primary Health Care Leadership and Management Health Policy media_common.quotation_subject Work–life balance Public Health Environmental and Occupational Health Transformation (function) Nursing Patient-Centered Care Humans Quality (business) Psychology Early Detection of Cancer media_common Patient centered |
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 |
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