Patient Experience in Health Center Medical Homes

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• 作者：Nicole Cook ; Lucas Hollar ; Emmanuel Isaac ; Ludmilla Paul…
• 关键词：Patient experience ; Federally qualified health center ; Patient centered medical home ; Quality improvement ; Underserved populations
• 刊名：Journal of Community Health
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：40
• 期：6
• 页码：1155-1164
• 全文大小：377 KB
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• 作者单位：Nicole Cook (1)
  Lucas Hollar (1)
  Emmanuel Isaac (2)
  Ludmilla Paul (3)
  Anthony Amofah (3)
  Leiyu Shi (4)
  
  1. Master of Public Health Program, College of Osteopathic Medicine, Nova Southeastern University, 3200 South University Drive, Fort Lauderdale, FL, 33328, USA
  2. Broward Community and Family Health Centers, 5010 Hollywood Boulevard, Suite 100-B, Hollywood, FL, 33201, USA
  3. Health Choice Network of Florida, 9064?NW 13th Terrace, Miami, FL, 33172, USA
  4. Health Policy and Health Services Research, Johns Hopkins Bloomberg School of Public Health, Hampton House, 624 N. Broadway, Baltimore, MD, 21205, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Public Health
  Health Promotion and Disease Prevention
  Ethics
  
• 出版者：Springer Netherlands
• ISSN：1573-3610

文摘

The Human Resource and Services Administration, Bureau of Primary Health Care Health Center program was developed to provide comprehensive, community-based quality primary care services, with an emphasis on meeting the needs of medically underserved populations. Health Centers have been leaders in adopting innovative approaches to improve quality care delivery, including the patient centered medical home (PCMH) model. Engaging patients through patient experience assessment is an important component of PCMH evaluation and a vital activity that can help drive patient-centered quality improvement initiatives. A total of 488 patients from five Health Center PCMHs in south Florida were surveyed in order to improve understanding of patient experience in Health Center PCMHs and to identify quality improvement opportunities. Overall patients reported very positive experience with patient-centeredness including being treated with courtesy and respect (85 % responded “always- and communication with their provider in a way that was easy to understand (87.7 % responded “always-. Opportunities for improvement included patient goal setting, referrals for patients with health conditions to workshops or educational programs, contact with the Health Center via phone and appointment availability. After adjusting for patient characteristics, results suggest that some patient experience components may be modified by educational attainment, years of care and race/ethnicity of patients. Findings are useful for informing quality improvement initiatives that, in conjunction with other patient engagement strategies, support Health Centers-ongoing transformation as PCMHs. Keywords Patient experience Federally qualified health center Patient centered medical home Quality improvement Underserved populations