Assessing Patient Experiences in the Pediatric Patient-Centered Medical Home: A Comparison of Two Instruments

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• 作者：Caprice Knapp ; Shourjo Chakravorty ; Vanessa Madden…
• 关键词：Medical home ; Pediatrics ; CHIPRA ; Survey ; Medicaid ; CHIP
• 刊名：Maternal and Child Health Journal
• 出版年：2014
• 出版时间：November 2014
• 年：2014
• 卷：18
• 期：9
• 页码：2124-2133
• 全文大小：306 KB
• 参考文献：Policy statement: The medical home. Pediatrics 110: pp. 184-186 CrossRef
  1. American Academy of Family Physicians. (2008). Joint principles of the patient centered medical home. / Delaware Medical Journal, 80(1), 21-2.
  2. Homer, CJ, Klatka, K, Romm, D, Kuhlthau, K, Bloom, S, Newacheck, P, Cleave, J, Perrin, JM (2008) A review of the evidence for the medical home for children with special health care needs. Pediatrics 122: pp. e922-e937 CrossRef
  3. Ferrante, JM, Balasubramanium, BA, Hudson, SV, Crabtree, BF (2010) Principles of the patient-centered medical home and preventive services delivery. Annals of Family Medicine 8: pp. 108-116 CrossRef
  4. Jaen, CR, Ferrer, RL, Miller, WL, Palmer, RF, Wood, R, Davila, M, Stewart, EE, Crabtree, BF, Nutting, PA, Strange, KC (2010) Patients outcomes at 26?months in the patient-centered medical home demonstration project. Annals of Family Medicine 8: pp. S57-S92 CrossRef
  5. Reid, RJ, Coleman, K, Johnson, EA, Fishman, PA, Hsu, C, Soman, MP, Trescott, CE, Erikson, M, Larson, EB (2010) The group health medical home at year 2: Cost savings, higher patient satisfaction, and less burnout for providers. Health Affairs 29: pp. 835-843 CrossRef
  6. (2011). The Patient-Centered Medical Home Evaluators-Collaborative. New York (NY): The Commonwealth Fund; [updated 2012 May 18; cited 2012 October 5]. http://www.commonwealthfund.org/Publications/Other/2010/PCMH-Evaluators-Collaborative.aspx.
  7. McManus, M. A., Pollack, L. R., Cooley, W. C., McAllister, J. W., Lotstein, D., Strickland, B., Mann, M. Y. (2013). Current status of transition preparation among youth with special needs in the United States. / Pediatrics. Published online May 13, 2013. http://pediatrics.aappublications.org/content/early/recent. Accessed on May 15, 2013.
  8. Boudreau, AD, Cleave, JM, Gnanasekaran, SK, Kurowski, DS, Kuhlthau, KA (2012) The medical home: Relationships with family functioning for children with and without special health care needs. Academic Pediatrics 12: pp. 391-398 CrossRef
  9. Willits, KA, Nies, MA, Racine, EF, Troutman-Jordan, ML, Platonova, E, Harris, HL (2012) Medical home and emergency department utilization among children with special health care needs: an analysis of the 2005-006 National Survey of Children with Special Health Care Needs. Journal of Ambulatory Care Management 35: pp. 238-246 CrossRef
  10. Long, WE, Cabral, HJ, Garg, A (2013) Are components of the medical home differentially associated with child health care utilization, health, and health promoting behavior outcomes?. Clinical Pediatrics 52: pp. 423-432 CrossRef
  11. Blumerg, SJ, Foster, EB, Satorius, J, Skalland, BJ, Nysse-Carris, KL, Morrison, HM, Chowdhury, SR, O’Connor, KS (2012) Design and operation of the National Survey of Children’s Health, 2007. Vital and Health Statistics 1: pp. 1-149
  12. Blumberg, SJ, Welch, EM, Upchurch, HL, Parker, EK, Skalland, BJ (2008) Design and operation of the National Survey of Children with Special Health Care Needs, 2005-006. Vital and Health Statistics 1: pp. 1-188
  13. Coleman, K, Reid, RJ, Johnson, E, Hsu, C, Ross, TR, Fishman, P, Larson, E (2010) Implications of reassigning patients for the medical home: A case study. Annals of Family Medicine 8: pp. 493-498 CrossRef
  14. Cooley, WC, McAllister, JW, Sherrieb, K, Kuhlthau, K (2009) Improved outcomes associated with medical home associated with medical home implementation in pediatric primary care. Pediatrics 124: pp. 358-364 CrossRef
  15. Rankin, KM, Cooper, A, Sanabria, K, Binns, HJ
• 刊物主题：Public Health; Sociology, general; Population Economics; Pediatrics; Gynecology; Maternal and Child Health;
• 出版者：Springer US
• ISSN：1573-6628

文摘

The Patient-Centered Medical Home (PCMH) is a model of care that has been promoted as a way to transform a broken primary care system in the US. However, in order to convince more practices to make the transformation and to properly reimburse practices who are PCMHs, valid and reliable data are needed. Data that capture patient experiences in a PCMH is valuable, but which instrument should be used remains unclear. Our study aims to compare the validity and reliability of two national PCMH instruments. Telephone surveys were conducted with children?who receive care from 20 pediatric practices across Florida (n?=?990). All of the children are eligible for Medicaid or the Children’s Health Insurance Program. Analyses were conducted to compare the Consumer Assessment of Health Plan Survey–Patient-Centered Medical Home (CAHPS–PCMH) and the National Survey of Children with Special Health Care Needs (NS-CSHCN) medical home domain. Respondents were mainly White non-Hispanic, female, under 35?years old, and from a two-parent household. The NS-CSHCN outperformed the CAHPS–PCMH in regard to scale reliability (Cronbach’s alpha coefficients all ?.81 vs. 0.56-.85, respectively). In regard to item-domain convergence and discriminant validity the CAHPS–PCMH fared better than the NS-CSHCN (range of convergence 0.66-.93 vs. 0.32-.00). The CAHPS–PCMH did not correspond to the scale structure in construct validity testing. Neither instrument performed well in the known-groups validity tests. No clear best instrument was determined. Further revision and calibration may be needed to accurately assess patient experiences in the PCMH.