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Exploring Variation in Transformation of Primary Care Practices to Patient-Centered Medical Homes: A Mixed Methods Approach.
| Content Provider | Europe PMC |
|---|---|
| Author | Lieberthal, Robert D. Karagiannis, Tom Bilheimer, Evan Verma, Manisha Payton, Colleen Sarfaty, Mona Valko, George |
| Copyright Year | 2017 |
| Abstract | Abstract The objective was to quantify the activities required for patient-centered medical home (PCMH) transformation in a sample of small to medium-sized National Committee for Quality Assurance (NCQA) recognized practices, and explore barriers and facilitators to transformation. Eleven small to medium-sized PCMH practices in Southeastern Pennsylvania completed a survey, which was adapted from the 2011 NCQA standards. Semistructured follow-up interviews were conducted, descriptive statistics were computed for the quantitative analysis, and a process of thematic coding was deployed for the qualitative analysis. Practices had considerable quantitative variation in their workforce composition and the PCMH-related activities they implemented. Most practices improved access and continuity through staff training and team-based care as well as expanded data collection for population management. The barriers to PCMH recognition were least burdensome for the largest practices. The heterogeneity of the small PCMH practices within the study sample underscore the need to understand the key transformation issues as efforts to disseminate the PCMH model continue. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC5649405&blobtype=pdf |
| Page Count | 8 |
| ISSN | 19427891 |
| Volume Number | 20 |
| DOI | 10.1089/pop.2016.0132 |
| PubMed Central reference number | PMC5649405 |
| Issue Number | 5 |
| PubMed reference number | 28099065 |
| Journal | Population Health Management [Popul Health Manag] |
| e-ISSN | 19427905 |
| Language | English |
| Publisher | Mary Ann Liebert, Inc. |
| Publisher Date | 2017-01-18 |
| Publisher Place | USA |
| Access Restriction | Open |
| Rights License | Copyright 2017, Mary Ann Liebert, Inc. |
| Subject Keyword | patient-centered care medical home primary health care practice management cost control |
| Content Type | Text |
| Resource Type | Article |
| Subject | Leadership and Management Public Health, Environmental and Occupational Health Health Policy |
