Reasons Primary Care Practices Chose Patient Experience Surveys During Patient-Centered Medical Home Transformation

Abstract

Patient-centered medical home takes years to attain. Fifteen-to-eighteen percent of US primary care practices in 2008-2017 sought or maintained patient-centered medical home recognition. We conducted interviews with a stratified-random sample of 105 of these practices to determine why patient experience surveys were chosen. Fifty-one were using a Consumer Assessment of Healthcare Providers and Systems survey and 53 administering another patient survey. The 3 most common reasons were (1) to compare performance against other practices, which requires systematically collected data across large numbers of practices (ie, the Consumer Assessment of Healthcare Providers and Systems survey), (2) participation in an external patient-centered medical home program, and (3) survey administration cost. Leaders invested in a second patient survey for quality improvement needs.

Health care experiences of Black cancer survivors: A qualitative study exploring drivers of low and high Consumer Assessment of Healthcare Providers and Systems global ratings of care

“…The results of our study point to the need to improve patient experiences for diverse patient populations. A previous study among a random sample of primary care practices examined the use of a CAHPS survey to improve patient‐centered medical home care and found that standardizing how care was delivered and sharing the best practices to improve provider–patient interactions were most beneficial 22 . However, this study did not report patients’ demographic information, nor did it consider specific characteristics that may be important for Black patients.…”

“…practices to improve provider-patient interactions were most beneficial. 22 However, this study did not report patients' demographic information, nor did it consider specific characteristics that may be important for Black patients. Our study suggests that interventions for Black patients with cancer should also include strategies to address financial toxicity and health care discrimination.…”