Patient Experience in a Coordinated Care Model Featuring Diabetes Self-management Education Integrated Into the Patient-Centered Medical Home

Janiszewski, Debra; O’Brian, Catherine A.; Lipman, Ruth D.

doi:10.1177/0145721715586577

Cited by 11 publications

(10 citation statements)

References 35 publications

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“…Worldwide, the older health care model is gradually being transformed; we are shifting from a model that views medical workers as having the leading role in patient care interactions into a newer modern model that involves patients in decisions relating to their health management [19, 20]. The medical policy guidelines and medical system in China mostly focus on the diagnosis, treatment and nursing of the specific respiratory system diseases.…”

Section: Discussionmentioning

confidence: 99%

Brief adult respiratory system health status scale-community version (BARSHSS-CV): developing and evaluating the reliability and validity

Dou

Zhao

Chen

et al. 2018

BMC Health Serv Res

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BackgroundThe evaluation of respiratory system health status in hospitalized patients is usually based on many laboratory examinations and imaging examinations. Medical examinations require a lot of manpower, material resources, financial resources, and may cause a certain degree of mechanical damage and radiation damage. It is not easily used widely and economically to assess the respiratory health status of community adults. Therefore, researchers developed a brief adult respiratory system health status scale-community version (BARSHSS-CV) and tested its reliability and validity.MethodsUsing clinical characteristics and pathogenic factors of respiratory system diseases as a theoretical basis and through reference to relevant literature, researchers developed an initial scale. A randomized cluster sampling strategy was used to recruit adults in the communities of Baoding City, Shijiazhuang City, Cangzhou city and Chifeng City in China. Researchers randomly selected 1 district from each city. Subsequently, 4 communities were respectively randomly selected from 4 districts. Then, researchers conducted the questionnaire survey in 4 communities. Finally, researchers investigated 615 community adults. 584 valid questionnaires were recovered. By applying exploratory factor analysis, confirmatory factor analysis, content validity index, Cronbach’s α coefficient, mean inter-item correlation coefficient and test-retest reliability, researchers tested the reliability and validity of scale and created the final BARSHSS-CV.ResultsBARSHSS-CV Cronbach’s α=0.951, content validity = 0.933, test-retest reliability = 0.963 and factor cumulative contribution rate = 67.168% by exploratory factor analysis. By confirmatory factor analysis, Chi square value (χ2) was 442.117, degrees of freedom (df) was 161, Chi square value/degrees of freedom (χ2 /df) was 2.746, root-mean-square error of approximation (RMSEA) was 0.065, goodness of fit index (GFI) was 0.902, incremental fit index (IFI) was 0.955, comparative fit index (CFI) was 0.955, normed fit index (NFI) was 0.931, Tueker-Lewis index (TLI) was 0.947. BARSHSS-CV consisted of 20 items and 3 dimensions.ConclusionsBARSHSS-CV with good test-retest reliability and content/construct validity is a brief and economical tool for assessing the state of respiratory system amongst adult communities. BARSHSS-CV may help medical staff in community primary medical institutions quickly, conveniently and economically assess the status of respiratory system and the main problems of respiratory system in community adults.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3505-z) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Brief adult respiratory system health status scale-community version (BARSHSS-CV): developing and evaluating the reliability and validity

Dou

Zhao

Chen

et al. 2018

BMC Health Serv Res

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“…Globally, the health care model that regarded medical workers as having the leading role in patient care is gradually being transformed into a new modern health care model that places patients at the center of healthcare. In this newer model, individual health self-management capabilities are improved and both parties are able to jointly participate in decision relating to a patient’s healthcare [ 27 , 28 ]. Publicity campaigns framed in the context of air pollution should be carried out to increase public awareness of the health risks and the corresponding personal prevention and protection measures.…”

Section: Discussionmentioning

confidence: 99%

Development and testing of the reliability and validity of the adolescent haze related knowledge awareness assessment scale (AHRKAAS)

et al. 2018

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BackgroundHaze leads to many direct serious public health impacts. Understanding haze related knowledge can not only help adolescents organize health protection awareness to prevent the harmful effects that haze has on the body, but also promote their normal growth and development.MethodsBy considering, as the theoretical basis, the reasons behind the formation of haze and the underlying mechanisms of the diseases that it causes, in addition to also investigating extensive literature references, our research team developed the Adolescent Haze Related Knowledge Awareness Assessment Scale (AHRKAAS-I). After 6 experts reviewed AHRKAAS-I, and 6 adolescents tested the scale, the research team further revised and improved AHRKAAS-I to form AHRKAAS-II. After which, researchers randomly selected 2 districts from the 20 districts of Baoding, and subsequently randomly selected 2 middle schools from these 2 districts. Conducting a stratified cluster sampling method, considering class as a unit, the research team randomly selected 22 classes. Finally, a total of 1100 adolescents were investigated and 1034 valid questionnaires were recovered. By analyzing the data of 1034 valid questionnaires, the researchers tested the reliability and validity of the scale and obtained the final scale (AHRKAAS).ResultsAHRKAAS Cronbach’s α=0.923, content validity = 0.940, criterion validity = 0.444, and factor cumulative contribution rate = 66.178% by exploratory factor analysis. Using confirmatory factor analysis, Chi square value = 662.780, degrees of freedom = 242, Chi square value/degrees of freedom = 2.739, root-mean-square error of approximation = 0.049, goodness of fit index = 0.929, adjusted goodness of fit index = 0.905, comparative fit index = 0.964, normed fit index = 0.944, and Tueker-Lewis index = 0.955. AHRKAAS consisted of 25 items and 4 dimensions.ConclusionAHRKAAS with a good reliability and validity can be used to assess the cognition level of haze related knowledge among the adolescents, help medical workers and coordinators in schools when conducting targeted behavior interventions. Furthermore, it can be used for health guidance for adolescents relating to the health prevention of haze.

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“…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).…”

Section: Care Coordination and Integrationmentioning

confidence: 99%

“…Accessing service in the Medical Home is a priority for patients (Janiszewski et al 2015) and there was some evidence to suggest that the PCMH model can improve patient access to care. Along with care coordination, access to care was the most commonly investigated attribute of the PCMH model across the range of studies included in this review (Table 2).…”

Section: Access To Carementioning

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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Patient Experience in a Coordinated Care Model Featuring Diabetes Self-management Education Integrated Into the Patient-Centered Medical Home

Cited by 11 publications

References 35 publications

Brief adult respiratory system health status scale-community version (BARSHSS-CV): developing and evaluating the reliability and validity

Brief adult respiratory system health status scale-community version (BARSHSS-CV): developing and evaluating the reliability and validity

Development and testing of the reliability and validity of the adolescent haze related knowledge awareness assessment scale (AHRKAAS)

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

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