Associations Between Patient Ratings of Quality of Care and Perceived Primary Care Medical Home (PCMH) Attributes
| Mean (Standard Error) | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Perception of Overall Quality of Services | Perception of Quality of Clinician Advice and Treatment | Likelihood of Referring Friends and Relatives to Health Center | |||||||
| PCMH Attributesa | Excellent/Very Good | Good/Fair/Poor | P Value | Excellent/Very Good | Good/Fair/Poor | P Value | Very Likely | Somewhat/Not Very/Not at All Likely | P Value |
| Access to care | |||||||||
| Getting there (0–4 scale) | 3.8 (0.02) | 3.0 (0.10) | <.0001 | 3.8 (0.03) | 3.2 (0.07) | <.0001 | 3.8 (0.03) | 3.1 (0.12) | <.0001 |
| During the visit (0–3 scale) | 2.6 (0.04) | 1.6 (0.07) | <.0001 | 2.6 (0.04) | 1.7 (0.07) | <.0001 | 2.6 (0.04) | 1.7 (0.07) | <.0001 |
| Patient-centered communication | |||||||||
| With clinicians (0–3 scale) | 3.0 (0.01) | 2.3 (0.09) | <.0001 | 3.0 (0.01) | 2.4 (0.08) | <.0001 | 2.9 (0.01) | 2.4 (0.10) | <.0001 |
| With support staff (0–4 scale) | 3.9 (0.02) | 3.2 (0.13) | <.0001 | 3.9 (0.02) | 3.4 (0.11) | <.0001 | 3.9 (0.02) | 3.3 (0.12) | <.0001 |
| Self-management support | |||||||||
| Chronic diseases (0–3 scale) | 2.7 (0.03) | 2.7 (0.10) | .6121 | 2.8 (0.02) | 2.6 (0.11) | <.0001 | 2.7 (0.03) | 2.7 (0.09) | .7220 |
| Behavioral risks (0–3 scale) | 1.5 (0.06) | 1.4 (0.14) | .1322 | 1.5 (0.06) | 1.4 (0.15) | .0497 | 1.6 (0.06) | 1.3 (0.16) | .0001 |
| Comprehensive care | |||||||||
| Preventive services (0–3 scale) | 2.2 (0.06) | 2.3 (0.10) | .1987 | 2.2 (0.06) | 2.3 (0.10) | .0053 | 2.2 (0.06) | 2.3 (0.09) | .4105 |
↵a The higher the scale value, the better the patient rating for each PCMH attribute.