Latino Access to the Patient-Centered Medical Home

Beal, Anne C.; Hernandez, Susan E.; Doty, Michelle M.

doi:10.1007/s11606-009-1119-1

Cited by 65 publications

(58 citation statements)

References 17 publications

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“…33,34 Participant responses to each of the 12 items were dichotomized as positive (1) or not (0), and tetrachoric correlations were used to assess internal consistency of items belonging to each PCMH care dimension.…”

Section: Methodsmentioning

confidence: 99%

“…33,34 We hypothesized that patients with a usual provider would be more likely than those with no usual provider to receive any MHS, and that those with a PCMH would be even more likely to receive MHS than those with only a usual provider. Moreover, because the PCMH enhances care coordination and access to medical specialist providers, 31,32 we further hypothesized that patients with a PCMH would be more likely to visit a mental health specialist provider (MHP) than patients with only a usual provider.…”

Section: Introductionmentioning

confidence: 99%

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Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use

et al. 2015

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use

et al. 2015

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“…Quantitative studies collected data from patients using a mix of validated (n = 24) and non-validated survey tools (n = 5) ( Table 1) The quantitative studies included a mix of descriptive only and comparative study designs (Table 1), with comparisons being made pre-post PCMH implementation (n = 3) Kern et al 2013;Carrillo et al 2014); between PCMH and non-PCMH sites (n = 3) (Christensen et al 2013;Maeng et al 2013); and both pre-post implementation, PCMH and non-PCMH sites, using a quasi-experimental study design (n = 6) (Reid et al 2009Jaén et al 2010a;Nutting et al 2010;Fishman et al 2012;Heyworth et al 2014). Analyses from existing large-scale survey datasets were also undertaken (n = 6) (Beal et al 2009;Solberg et al 2011;Thygeson et al 2012;Lebrun-Harris et al 2013;Nelson et al 2014;Reddy et al 2015). There were 23 independent data sources identified, as some articles used the same research investigation technique, specifically, studies that examined the Group Health Medical Home pilot (n = 4) (Reid et al 2009Coleman et al 2010;Fishman et al 2012); evaluations conducted as part of the National Demonstration Project (n = 2) (Jaén et al 2010a;Nutting et al 2010); studies that examined Medical Home implementation in Florida (n = 2) (Cook et al 2015(Cook et al , 2016; and studies from Health Partners Medical Group (n = 2) (Solberg et al 2011;Thygeson et al 2012).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies comparing the experience of patients in a PCMH with traditional care sites reported a slightly better patient experience of provider communication in the Medical Home (Beal et al 2009;Christensen et al 2013). A study of the Geisinger Health System, ProvenHealth Navigator, PCMH model found no improvement in the patient-provider relationship between the PCMH and non-PCMH sites, although this was measured using a non-validated survey tool (Maeng et al 2013).…”

Section: Patient-provider Relationshipmentioning

confidence: 99%

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

O'Loughlin

Mills

McDermott

et al. 2017

Aust. J. Prim. Health

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Abstract. Understanding patient experience is necessary to advance the patient-centred approach to health service delivery. Australia's primary healthcare model, the 'Health Care Home', is based on the 'Patient-Centered Medical Home' (PCMH) model developed in the United States. Both these models aim to improve patient experience; however, the majority of existing PCMH model evaluations have focussed on funding, management and quality assurance measures. This review investigated the scope of evidence reported by adult patients using a PCMH. Using a systematic framework, the review identified 39 studies, sourced from 33 individual datasets, which used both quantitative and qualitative approaches. Patient experience was reported for model attributes, including the patient-physician and patient-practice relationships; carecoordination; access to care; and, patient engagement, goal setting and shared decision-making. Results were mixed, with the patient experience improving under the PCMH model for some attributes, and some studies indicating no difference in patient experience following PCMH implementation. The scope and quality of existing evidence does not demonstrate improvement in adult patient experience when using the PCMH. Better measures to evaluate patient experience in the Australian Health Care Home model are required.Additional keywords: healthcare evaluation, health services research, quality of health care.

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“…Given the magnitude of these health disparities and the role that aspects of the medical home play in the receipt of timely and appropriate care, receiving care within a medical home may be particularly important among AIAN children [10]. Having a medical home has also been associated with a reduction in disparities related to the receipt of care among black and Hispanic adults [11,12]. Therefore the objectives of this study are to describe the prevalence of receiving care within a medical home among AIAN children compared to non-Hispanic white (NHW) children residing in the same states and to identify areas for improvement in the provision of health care within a medical home among AIAN children.…”

Section: Introductionmentioning

confidence: 99%

Medical Home Access Among American Indian and Alaska Native Children in 7 States: National Survey of Children’s Health

Barradas

Kroelinger

Kogan

2012

Matern Child Health J

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To describe the prevalence of medical home among American Indian and Alaska Native children (AIAN) compared to non-Hispanic white (NHW) children and identify areas for improvement in the provision of care within a medical home. Prevalence of medical home, defined as familycentered, comprehensive, coordinated, compassionate, culturally effective care, including a personal doctor or nurse and usual care location, was estimated using 2007 National Survey of Children's Health data. Analyses included 1-17 year-olds in states reporting AIAN race as a distinct category (Alaska, Arizona, Montana, New Mexico, North Dakota, Oklahoma, and South Dakota, n = 9,764). Associations between medical home and demographic (child's age, household education and income, and state) and health-related [child's insurance status, special health care need status, and past year Indian Health Service (IHS) utilization] characteristics were assessed among AIAN children. Overall, the prevalence of medical home was 27 % lower among AIAN children (42.6, 95 % CI = 34.4-50.8) than NHW children (58.3, 95 % CI = 56.2-60.4). Child's age (adjusted OR [aOR] = 2.7, 95 % CI = 1.3-5.6) was significantly associated with medical home. IHS utilization was associated with medical home among AIAN children with private insurance (aOR = 0.2, 95 % CI = 0.1-0.4), but not among uninsured or publicly insured children. Care coordination and family-centered care were noted areas for improvement among AIAN children. Less than half of AIAN children had a medical home. Future studies should further examine the intersection between insurance and IHS to determine if enhanced coordination is Correspondence to: Danielle T. Barradas, dbarradas@cdc.gov. Electronic supplementary material The online version of this article

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Latino Access to the Patient-Centered Medical Home

Cited by 65 publications

References 17 publications

Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use

Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use

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

Medical Home Access Among American Indian and Alaska Native Children in 7 States: National Survey of Children’s Health

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