Increasing Access to Care and Reducing Mistrust: Important Considerations When Implementing the Patient-Centered Medical Home in Army Health Clinics

Moore, Angelo D.; Hamilton, Jill B.; Pierre-Louis, Bosny; Jennings, Bonnie Mowinski

doi:10.7205/milmed-d-12-00443

Cited by 17 publications

(12 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Those that did most frequently (n = 8) tested Anderson's behavioral model of service use. 20,58,61,[73][74][75] Using Figure 3 as a pictorial representation of the variables found to be associated with MM, only a few paths have been tested sufficiently to provide strong assertions of the effect of MM on responses or health outcomes. The underlined variables in the framework figure have been tested in at least 10 studies; and those with an asterisk were used as mediators.…”

Section: Quantitative Studies Of MMmentioning

confidence: 99%

Ubiquitous Yet Unclear: A Systematic Review of Medical Mistrust

Benkert

Cuevas

Thompson

et al. 2019

Behavioral Medicine

128

106

View full text Add to dashboard Cite

Peer-reviewed articles (n = 124) examining associations between medical mistrust (MM) and health outcomes from four databases, between January 1998 and May 2018, were reviewed; 36 qualitative and 88 quantitative studies met the inclusion criteria. The Williams and Mohammed framework guided our narrative synthesis of the studies; it argues that basic causes (e.g., biased institutions) affect the social status of marginalized groups which in turn effects multiple proximal pathways leading to responses and poor health. Most studies were cross-sectional with US-based samples. The MM in qualitative studies were categorized as interpersonal (n = 30), systemic (n = 22), and/or vicarious (n = 18); 25% did not explicitly note the basic causes of MM and race/ ethnicity was often confounded with socioeconomic status (SES). All but three studies discussed an association between MM and a behavior response; no study focused on an actual health outcome. Most quantitative studies used multivariate regression analyses; only 15 of the 88 utilized advanced modeling techniques (e.g., mediation). Most (75%) studies did not describe basic causes for MM and 43% utilized low income samples. MM was conceptualized as a predictor/proximal pathway (in 73 studies) associated with a variety of responses, most commonly behavioral (e.g., diminished adherence); 14 studies found an association between MM and a specific health measure. This review underscores the need for future qualitative studies to place MM central to their research questions as in-depth descriptions of MM were limited. Future quantitative studies should replicate findings using more advanced analytical strategies that examine the relationship between MM and health outcomes.

show abstract

Section: Quantitative Studies Of MMmentioning

confidence: 99%

Ubiquitous Yet Unclear: A Systematic Review of Medical Mistrust

Benkert

Cuevas

Thompson

et al. 2019

Behavioral Medicine

128

106

View full text Add to dashboard Cite

show abstract

“…14 Similarly, higher satisfaction rankings have been associated with lower hospital readmission rates, 15 lower inpatient mortality rates, 16 and may influence a patient's decision to seek future care. 17 These studies emphasize the importance of patient satisfaction not only as an indicator of quality, but as a potential pathway for improved health outcomes. 18 The Health Care Survey of Department of Defense Beneficiaries (HCSDB) was developed to monitor the opinions and experiences of Department of Defense beneficiaries related to their health care.…”

Section: Introductionmentioning

confidence: 99%

“…One question that emerges is whether continuity is as important in a military population that may be more accepting of transience and a subsequent lack of continuity. 17 If patient satisfaction is related to expectations, but there is no expectation of continuity, will a patient be dissatisfied with discontinuous care? One of the goals of this project is to understand what factors are most important in predicting patient satisfaction in military families.…”

Section: Introductionmentioning

confidence: 99%

Examining Associations Between Relocation, Continuity of Care, and Patient Satisfaction in Military Spouses

Gleason

Beck

2017

Military Medicine

View full text Add to dashboard Cite

No studies have previously been conducted to determine why military health system beneficiaries are less satisfied with care than their civilian counterparts. Discontinuous care is an ongoing issue for military families, which can impact satisfaction and potentially lead to poorer health outcomes. Although the military culture may not allow for fewer relocations, these results indicate that taking steps to promote enduring, trusting relationships with primary care providers may improve patient satisfaction.

show abstract

“…1) was used to guide this study [37]. Evaluation of individual characteristics other than demographics was the first step in building the model, and these results are published elsewhere [35]. The second step in building a more comprehensive model was evaluating health behaviors related to communication during the process of receiving medical care.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…The study's primary purpose was to examine the relationships between individual patient characteristics (including demographics), communication behaviors, and key health outcomes such as patient satisfaction and health status (physical and mental health) [35,36].…”

Section: Data Collectionmentioning

confidence: 99%