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- Title
Group Health Cooperative's Transformation Toward Patient-Centered Access.
- Authors
Ralston, James D.; Martin, Diane P.; Anderson, Melissa L.; Fishman, Paul A.; Conrad, Douglas A.; Larson, Eric B.; Grembowski, David
- Abstract
The Institute of Medicine suggests redesigning health care to ensure safe, effective, timely, efficient, equitable, and patient-centered care. The concept of patient-centered access supports these goals. Group Health, a mixed-model health care system, attempted to improve patients' access to care through the following changes: (a) offering a patient Web site with patient access to patient-physician secure e-mail, electronic medical records, and health promotion information; (b) offering advanced access to primary physicians; (c) redesigning primary care services to enhance care efficiency; (d) offering direct access to physician specialists; and (e) aligning primary physician compensation through incentives for patient satisfaction, productivity, and secure messaging with patients. In the 2 years following the redesign, patients reported higher satisfaction with certain aspects of access to care, providers reported improvements in the quality of service given to patients, and enrollment in Group Health stayed aligned with statewide trends in health care coverage.
- Subjects
UNITED States; PATIENT-centered care; NATIONAL Academy of Medicine (U.S.); HEALTH care reform; PHYSICIAN-patient relations; MEDICAL informatics; PATIENT satisfaction; PRIMARY care; COMPUTER network resources
- Publication
Medical Care Research & Review, 2009, Vol 66, Issue 6, p703
- ISSN
1077-5587
- Publication type
Article
- DOI
10.1177/1077558709338486