Patients Use the Internet to Enter the Medical Home

Abstract

There is a large gap between the promise of patient-centered medical home (PCMH) and our current capacity to define and measure it. The purpose of this article is to describe the findings of "real-time" patient-reported data about constructs of the PCMH and to demonstrate how an Internet-based method can be useful for obtaining patient report about the PCMH. We find that patients' Internet ratings seem stable and demonstrate relationships that fit constructs and models for the PCMH. We also find that current PCMH performance across this sample of 69 clinical settings is highly variable and still leaves a great deal of room for improvement.

Patient reported outcome measures in practice

“…16 Patients enter all the data themselves, mainly using tick boxes in response to questions. For practice improvement the system also provides a summary of all patient data (with national benchmarks) and a secure registry to target interventions at groups of patients with similar needs (such as those with diabetes, emotional problems, or low confidence to self manage health problems).…”

Aligning Payments, Services, and Quality in Primary Care

“…4 Web-based tools make it feasible for practices of all sizes to regularly obtain and respond to this information from patients. 5 Successful tools must enable the clinician to act, not just survey. Ample evidence demonstrates that regular collection and use of patient-reported outcome measures (PROMs) and the provision of services based on each patient's responses leads to better communication, decision-making, prediction of costly care, patient outcomes, and satisfaction with care.…”

Associations Between Patients’ Unmet Social Needs and Self-Reported Health Confidence at One Primary Care Clinic

“…We created an 11-item screening questionnaire which assessed for transportation barriers, social isolation, food insecurity, financial strain, housing instability, personal safety, health literacy, health confidence, and desire for assistance with identified social needs (see Supplemental Appendix 1). Screening items pertaining to social isolation, 25 food insecurity, 26 financial strain, 27 health literacy, 28 and health confidence 16,29 have been previously tested for reliability and validity by their authors. The transportation 30 and personal safety 31 items have been published without details of their development.…”