Differences in Patient Ratings of Medical Home Domains Among Adults With Diabetes

Abstract

This study demonstrates that not all PCMH clinics are alike and that these differences can possibly affect patient perceptions of their care.

Review of patient-reported experience within Patient-Centered Medical Homes: insights for Australian Health Care Homes

“…Four studies reported a slightly higher level of satisfaction among patients regarding the care they received from their physician following implementation of the Medical Home model (Solberg et al 2011;Carrillo et al 2014;Hall et al 2014;Heyworth et al 2014). One study reported an improvement in patient satisfaction after 12 (Reid et al 2009) and 24 months of PCMH care; however, this improvement in doctor-patient interaction diminished over time.…”

“…Two studies demonstrated an increase in patient satisfaction with office staff within the PCMH model compared with the traditional model of care (Christensen et al 2013;Hall et al 2014). Other researchers described a high level of positive patient experience in the PCMH when it came to practice staff providing respectful, helpful care (Cook et al 2015(Cook et al , 2016 and in terms of friendly, helpful staff (Kennedy et al 2015).…”

“…Several studies reported an improvement in the patient experience of care coordination in PCMHs (Reid et al 2009Maeng et al 2013;Schmidt et al 2013;Carrillo et al 2014;Hall et al 2014). However, it is worth noting that two of these studies did not use validated survey tools.…”

“…Mixed-method studies (n = 2) Hall et al (2014) agreement) (Cook et al 2015(Cook et al , 2016 and for support provided by health navigators (Janiszewski et al 2015). A more moderate level of positive experience was reported for test follow up (83.9 and 78.6% agreement) (Solberg et al 2011;Cook et al 2016).…”

“…Kern et al (2013) observed that access to care had the least patient satisfaction at baseline and the most potential for improvement under the PCMH model. A range of studies reported improvement in patient perceived access to care in the PCMH (Reid et al 2009Solberg et al 2011;Fishman et al 2012;Christensen et al 2013;Kern et al 2013;Schmidt et al 2013;Carrillo et al 2014;Hall et al 2014;Jubelt et al 2014). Specific areas of improvement were: ease of appointment scheduling; access to routine appointments; ability to obtain urgent appointments; and, reduced in-office waiting time.…”