Opportunities for social workers in the patient centered medical home
| Autor: | Marcella Myers, George A. Huber, Mary Hawk, Edmund M. Ricci |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Medical home
Male Health (social science) Social Workers Interviews as Topic Health services Professional Role Nursing Patient-Centered Care Medicine Humans Qualitative Research Chronic care Social work Primary Health Care business.industry Health Policy Qualitative interviews Public Health Environmental and Occupational Health Champion Case manager Pennsylvania United States Workforce Female business Patient centered |
| Zdroj: | Social work in public health. 30(2) |
| ISSN: | 1937-190X |
| Popis: | The Patient Centered Medical Home (PCMH) has been hailed as one method of improving chronic care outcomes in the United States. A number of studies have underscored the importance of the social work role within the PCMH, yet little existing research explores the social worker as a driver of improved patient care. The Pennsylvania Chronic Care Initiative was created with a primary goal of increasing the number of practices that were recognized as PCMH by the National Committee for Quality Assurance. This article describes findings from in-depth qualitative interviews with representatives from seven primary care practices, in which the authors examined barriers and facilitators to implementation of the initiative. Barriers to implementation included small practice size, payer-driven care, not having a strong physician champion, variability within patient populations, and high implementation costs. Facilitators included having a social worker coordinate behavioral health services, clinical nurse case managers, preexisting models of outcomes-driven care, and being part of an integrated health delivery and financing system. Recommendations strengthening the role of medical social workers in primary care practices are discussed. |
| Databáze: | OpenAIRE |
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