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Research ArticleOriginal Research

Effects of Patient-Centered Medical Home Attributes on Patients’ Perceptions of Quality in Federally Supported Health Centers

Lydie A. Lebrun-Harris, Leiyu Shi, Jinsheng Zhu, Matthew T. Burke, Alek Sripipatana and Quyen Ngo-Metzger
The Annals of Family Medicine November 2013, 11 (6) 508-516; DOI: https://doi.org/10.1370/afm.1544
Lydie A. Lebrun-Harris
1Office of Research and Evaluation, Office of Planning, Analysis and Evaluation, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, Maryland
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  • For correspondence: llebrun-harris@hrsa.gov
Leiyu Shi
2Department of Health Policy and Management and Primary Care Policy Center, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
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Jinsheng Zhu
2Department of Health Policy and Management and Primary Care Policy Center, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
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Matthew T. Burke
3Department of Family Medicine, Franklin Square Hospital, Baltimore, Maryland
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Alek Sripipatana
4Office of Quality and Data, Bureau of Primary Health Care, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, Maryland
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Quyen Ngo-Metzger
5US Preventive Services Task Force, Center for Primary Care, Prevention, and Clinical Partnerships, Agency for Healthcare Research and Quality, US Department of Health and Human Services, Rockville, Maryland
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Abstract

PURPOSE We sought to assess patients’ ratings of patient-centered medical home (PCMH) attributes and overall quality of care within federally supported health centers.

METHODS Data were collected through the 2009 Health Center Patient Survey (n = 4,562), which consisted of in-person interviews and included a nationally representative sample of patients seen in health centers. Quality measures included patients’ perceptions of overall quality of services, perceptions of quality of clinician advice/treatment, and likelihood of referring friends and relatives to the health center. PCMH attributes included (1) access to care getting to health center, (2) access to care during visit, (3) patient-centered communication with health care clinicians, (4) patient-centered communication with support staff, (5) self-management support for chronic conditions, (6) self-management support for behavioral risks, and (7) comprehensive preventive care. Bivariate analysis and logistic regressions were used to examine associations between patients’ perceptions of PCMH attributes and patient-reported quality of care.

RESULTS Eighty-four percent of patients reported excellent/very good overall quality of services, 81% reported excellent/very good quality of clinician care, and 84% were very likely to refer friends and relatives. Higher patient ratings on the access to care and patient-centered communication attributes were associated with higher odds of patient-reported high quality of care on the 3 outcome measures.

CONCLUSIONS More than 80% of patients perceived high quality of care in health centers. PCMH attributes related to access to care and communication were associated with greater likelihood of patients reporting high-quality care.

  • primary care
  • patient-centered care
  • health care quality assessment
  • vulnerable populations
  • Received for publication September 24, 2012.
  • Revision received January 7, 2013.
  • Accepted for publication February 1, 2013.
  • © 2013 Annals of Family Medicine, Inc.
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The Annals of Family Medicine: 11 (6)
The Annals of Family Medicine
Vol. 11, Issue 6
November/December 2013
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Effects of Patient-Centered Medical Home Attributes on Patients’ Perceptions of Quality in Federally Supported Health Centers
Lydie A. Lebrun-Harris, Leiyu Shi, Jinsheng Zhu, Matthew T. Burke, Alek Sripipatana, Quyen Ngo-Metzger
The Annals of Family Medicine Nov 2013, 11 (6) 508-516; DOI: 10.1370/afm.1544

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Effects of Patient-Centered Medical Home Attributes on Patients’ Perceptions of Quality in Federally Supported Health Centers
Lydie A. Lebrun-Harris, Leiyu Shi, Jinsheng Zhu, Matthew T. Burke, Alek Sripipatana, Quyen Ngo-Metzger
The Annals of Family Medicine Nov 2013, 11 (6) 508-516; DOI: 10.1370/afm.1544
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