Title | Patient-Centered Medical Home Adoption: Results From Aligning Forces For Quality. |
Publication Type | Journal Article |
Year of Publication | 2016 |
Authors | McHugh M, Shi Y, Ramsay PP, Harvey JB, Casalino LP, Shortell SM, Alexander JA |
Journal | Health Aff (Millwood) |
Volume | 35 |
Issue | 1 |
Pagination | 141-9 |
Date Published | 2016 Jan |
ISSN | 1544-5208 |
Keywords | Cooperative Behavior, Databases, Factual, Delivery of Health Care, Female, Health Care Surveys, Humans, Male, Organizational Innovation, Patient-Centered Care, Practice Patterns, Physicians', Primary Health Care, Quality of Health Care, United States |
Abstract | To improve health care quality within communities, increasing numbers of multi-stakeholder alliances-groups of payers, purchasers, providers, and consumers-have been created. We used data from two rounds (conducted in July 2007-March 2009 and January 2012-November 2013) of a large nationally representative survey of small and medium-size physician practices. We examined whether the adoption of patient-centered medical home processes spread more rapidly in fourteen Robert Wood Johnson Foundation Aligning Forces for Quality communities, where multi-stakeholder health care alliances promoted their use, than in other communities. We found no difference in the overall growth of adoption of the processes between the two types of communities. However, improvement on a care coordination subindex was 7.17 percentage points higher in Aligning Forces for Quality communities than in others. Despite the enthusiasm for quality improvement led by multi-stakeholder alliances, such alliances may not be a panacea for spreading patient-centered medical home processes across a community. |
DOI | 10.1377/hlthaff.2015.0495 |
Alternate Journal | Health Aff (Millwood) |
PubMed ID | 26733712 |
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