Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA; Centers for Medicare & Medicaid Services, Baltimore, MD, USA.
Healthc (Amst). 2020 Jun;8(2):100412. doi: 10.1016/j.hjdsi.2020.100412. Epub 2020 Feb 24.
The Comprehensive Primary Care (CPC) initiative was an alternative payment model implemented from 2012 to 2016 to strengthen primary care by enhancing core functions, including access to care. The association between interventions to enhance access and patients' perception of access is unknown. We performed a cross-sectional analysis of CPC practice surveys and CAHPS patient survey responses pertaining to access and timeliness in 2016. There were regional differences in both patients' perceptions of access and interventions to enhance access, but no association between interventions and patients' perceptions. Practices with fewer clinicians and whose patients had fewer chronic conditions had better perceived access.
综合初级保健（CPC）计划是 2012 年至 2016 年实施的一种替代支付模式，旨在通过加强核心功能（包括获得医疗服务的机会）来加强初级保健。增强获得医疗服务机会的干预措施与患者对获得医疗服务机会的看法之间的关系尚不清楚。我们对 2016 年 CPC 实践调查和 CAHPS 患者调查的回应进行了横断面分析，内容涉及获取途径和及时性。患者对获取途径的看法和增强获取途径的干预措施在区域上存在差异，但干预措施与患者的看法之间没有关联。临床医生较少且患者慢性病较少的医疗机构感知到的获取途径更好。
