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- Title
Comparing the Attainment of the Patient's Medical Home Model across Regions in Three Canadian Provinces: A Cross-Sectional Study.
- Authors
WONG, SABRINA T.; JOHNSTON, SHARON; BURGE, FRED; AMMI, MEHDI; KATZ, ALAN; MARTIN-MISENER, RUTH; PETERSON, SANDRA; THANDI, MANPREET; HAGGERTY, JEANNIE; HOGG, WILLIAM; CAMPBELL, JOHN L.
- Abstract
Background: The aim of this work was to show the feasibility of providing a comprehensive portrait of regional primary care performance. Methods: The TRANSFORMATION study used a mixed-methods concurrent study design where we analyzed survey data and case studies. Data were collected in British Columbia, Ontario and Nova Scotia. Patient's Medical Home (PMH) pillar scores were created by calculating mean clinic-level scores across regions. Scores and qualitative themes were compared. Results: Participation included 86 practices (n = 1,929 patients; n = 117 clinicians). Regions had differential attainment towards PMH orientation with respect to infrastructure; community adaptiveness and accountability; and patient and family partnered care. The lowest PMH attainment for all regions were observed in connected care; accessible care; measurement, continuous quality improvement and research; and training, education and continuing professional development. Conclusions: Comprehensive performance reporting that draws on multiple data sources in primary care is possible. Regional portraits highlighting many of the key pillars of a PMH approach to primary care show that despite differences in policy contexts, achieving a PMH remains elusive.
- Subjects
CANADA; KRUSKAL-Wallis Test; MEDICAL databases; INFORMATION storage &; retrieval systems; FOCUS groups; HOME care services; ACHIEVEMENT; EVALUATION of organizational effectiveness; CROSS-sectional method; RESEARCH methodology; ONE-way analysis of variance; INTERVIEWING; PRIMARY health care; QUALITATIVE research; FAMILY-centered care; DESCRIPTIVE statistics; RESEARCH funding; THEMATIC analysis; STATISTICAL sampling; DATA analysis software
- Publication
Healthcare Policy, 2021, Vol 17, Issue 2, p19
- ISSN
1715-6572
- Publication type
Article
- DOI
10.12927/hcpol.2021.26659