Browsing by Subject "primary care"

Now showing 1 - 4 of 4

Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis
(BMC Family Practice, 2014-03-29) Noel, Polly; Parchman, Michael L.; Palmer, Ray F.; Romer, Raquel L.; Leykum, Luci K.; Lanham, Holly J.; Zeber, John E.; Bowers, Krista W.
Background: Little is known as to whether primary care teams’ perceptions of how well they have implemented the Chronic Care Model (CCM) corresponds with their patients’ own experience of chronic illness care. We examined the extent to which practice members’ perceptions of how well they organized to deliver care consistent with the CCM were associated with their patients’ perceptions of the chronic illness care they have received. Methods: Analysis of baseline measures from a cluster randomized controlled trial testing a practice facilitation intervention to implement the CCM in small, community-based primary care practices. All practice “members” (i.e., physician providers, non-physician providers, and staff) completed the Assessment of Chronic Illness Care (ACIC) survey and adult patients with 1 or more chronic illnesses completed the Patient Assessment of Chronic Illness Care (PACIC) questionnaire. Results: Two sets of hierarchical linear regression models accounting for nesting of practice members (N = 283) and patients (N = 1,769) within 39 practices assessed the association between practice member perspectives of CCM implementation (ACIC scores) and patients’ perspectives of CCM (PACIC). ACIC summary score was not significantly associated with PACIC summary score or most of PACIC subscale scores, but four of the ACIC subscales were consistently associated with PACIC summary score and the majority of PACIC subscale scores after controlling for patient characteristics. The magnitude of the coefficients, however, indicates that the level of association is weak. Conclusions: The ACIC and PACIC scales appear to provide complementary and relatively unique assessments of how well clinical services are aligned with the CCM. Our findings underscore the importance of assessing both patient and practice member perspectives when evaluating quality of chronic illness care.
Alignment of Patient and Primary Care Practice Member Perspectives of Chronic Illness Care: A Cross-Sectional Analysis
(2014-03) Noel, Polly H.; Parchman, Michael L.; Palmer, Ray F.; Romero, Raquel L.; Leykum, Luci K.; Lanham, Holly J.; Zeber, John E.; Bowers, Krista W.; Lanham, Holly J.
Little is known as to whether primary care teams' perceptions of how well they have implemented the Chronic Care Model (CCM) corresponds with their patients' own experience of chronic illness care. We examined the extent to which practice members' perceptions of how well they organized to deliver care consistent with the CCM were associated with their patients' perceptions of the chronic illness care they have received. Methods: Analysis of baseline measures from a cluster randomized controlled trial testing a practice facilitation intervention to implement the CCM in small, community-based primary care practices. All practice "members" (i.e., physician providers, non-physician providers, and staff) completed the Assessment of Chronic Illness Care(ACIC) survey and adult patients with 1 or more chronic illnesses completed the Patient Assessment of Chronic Illness Care (PACIC) questionnaire. Results: Two sets of hierarchical linear regression models accounting for nesting of practice members (N = 283) and patients (N = 1,769) within 39 practices assessed the association between practice member perspectives of CCM implementation (ACIC scores) and patients' perspectives of CCM (PACIC). ACIC summary score was not significantly associated with PACIC summary score or most of PACIC subscale scores, but four of the ACIC subscales [Self- management Support (p < 0.05); Community Linkages (p < 0.02), Delivery System Design (p < 0.02), and Organizational Support (p < 0.02)] were consistently associated with PACIC summary score and the majority of PACIC subscale scores after controlling for patient characteristics. The magnitude of the coefficients, however, indicates that the level of association is weak. Conclusions: The ACIC and PACIC scales appear to provide complementary and relatively unique assessments of how well clinical services are aligned with the CCM. Our findings underscore the importance of assessing both patient and practice member perspectives when evaluating quality of chronic illness care. Trial registration: NCT00482768
Care That Pays for Itself? Community Initiatives to Reduce the Cost of Uncompensated Health Care, PRP 151
(LBJ School of Public Affairs, 2006) Warner, David C.; Nyer, Genie; Kerber, Lisa
Is Telemedicine The Future Primary Care Physician? An Analysis Of Past, Current, And Future Trends
(2019-05-01) Kvinta, Mary; Nauert, Richard
This thesis offers a new method of analyzing the trends of telemedicine in the past, current, and future states, particularly in relation to primary healthcare settings. This thesis consists of a literature review of various studies, an analysis of current legislation, and suggestions for future improvements of the healthcare system in the United States. The terms surrounding telemedicine will be defined and the history of telemedicine will be explained in order to convey an understanding of the topic and to allow the reader to deduce general conclusions from the thesis. The thesis will focus on the patient perspective, the healthcare provider perspective, and the challenges that these two respective groups of people face in relation to successful implementation of telemedicine. Conclusions from this thesis are applicable in the current age due to the rising cost of healthcare, the healthcare shortage in certain geographic areas, and the increasingly technological presence in the United States and in the world.