We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Physician Practices and Readiness for Medical Home Reforms: Policy, Pitfalls, and Possibilities.
- Authors
Hollingsworth, John M.; Saint, Sanjay; Sakshaug, Joseph W.; Hayward, Rodney A.; Zhang, Lingling; Miller, David C.
- Abstract
Objective. To determine the proportion of physician practices in the United States that currently meets medical home criteria. Data Source/Study Setting. 2007 and 2008 National Ambulatory Medical Care Survey. Study Design. We mapped survey items to the National Committee on Quality Assurance's ( NCQA's) medical home standards. After awarding points for each 'passed' element, we calculated a practice's infrastructure score, dividing its cumulative total by the number of available points. We identified practices that would be recognized as a medical home (Level 1 [25-49 percent], Level 2 [50-74 percent], or Level 3 [infrastructure score ≥75 percent]) and examined characteristics associated with NCQA recognition. Results. Forty-six percent (95 percent confidence interval [ CI], 42.5-50.2) of all practices lack sufficient medical home infrastructure. While 72.3 percent (95 percent CI, 64.0-80.7 percent) of multi-specialty groups would achieve recognition, only 49.8 percent (95 percent CI, 45.2-54.5 percent) of solo/partnership practices meet NCQA standards. Although better prepared than specialists, 40 percent of primary care practices would not qualify as a medical home under present criteria. Conclusion. Almost half of all practices fail to meet NCQA standards for medical home recognition.
- Subjects
UNITED States; MEDICAL care; PRIMARY care; PUBLIC welfare; OUTPATIENT medical care; HEALTH surveys
- Publication
Health Services Research, 2012, Vol 47, Issue 1pt2, pn/a
- ISSN
0017-9124
- Publication type
Article
- DOI
10.1111/j.1475-6773.2011.01332.x