RT Journal Article
SR Electronic
T1 Alignment of Canadian Primary Care With the Patient Medical Home Model: A QUALICO-PC Study
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 230
OP 236
DO 10.1370/afm.2059
VO 15
IS 3
A1 Katz, Alan
A1 Herpai, Nicole
A1 Smith, Glenys
A1 Aubrey-Bassler, Kris
A1 Breton, Mylaine
A1 Boivin, Antoine
A1 Hogg, William
A1 Miedema, Baukje
A1 Pang, Jocelyn
A1 Wodchis, Walter P.
A1 Wong, Sabrina T.
YR 2017
UL http://www.annfammed.org/content/15/3/230.abstract
AB PURPOSE The patient medical home (PMH) model aims to improve patient satisfaction and health outcomes in Canada, but since its introduction in 2009, there has been no evaluation of the extent to which primary care conforms with PMH attributes. Our objective was to compare current primary care across Canada with the 10 goals of the PMH model.METHODS A cross-sectional survey of primary care organization and delivery was conducted in Canadian provinces to evaluate the PMH-based attributes of primary care practices. Family physician and patient responses were mapped to the 10 goals of the PMH model. We used regression models to describe the provinces’ success in meeting the goals, taking specific practice characteristics into account. We created a PMH composite score by weighting each goal equally for each practice and aggregating these by province. The PMH score is the sum of the values for each goal, which were scored from 0 to 1; a score of 10 indicates that all 10 goals of the PMH model were achieved.RESULTS Seven hundred seventy-two primary care practices and 7,172 patients participated in the survey. The average national PMH score was 5.36 (range 4.75–6.23) of 10. Ontario was the only province to score significantly higher than Canada as a whole, whereas Québec, Newfoundland/Labrador, and New Brunswick/Prince Edward Island scored below the national average. There was little variation, however, among provinces in achieving the 10 PMH goals.CONCLUSIONS Provincial PMH scores indicate considerable room for improvement if the PMH goals are to be fully implemented in Canada.