From Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania (EL); MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Ontario (LL, RG, TK); Princess Margaret Cancer Center, University Health Network, Toronto, Ontario (LL); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario (LL); Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Richmond, Virginia (RE); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (RE); Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Ontario (NR, RG, TK); Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario (NR, RG, TK); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario (RG, TK).
J Am Board Fam Med. 2022 Jul-Aug;35(4):751-761. doi: 10.3122/jabfm.2022.04.210427.
The Person-Centered Primary Care Measure (PCPCM) is a relatively new and concise yet comprehensive measure of primary care quality. The objectives of this study are to administer the PCPCM in Canada and to understand whether there is an association between the PCPCM and sociodemographic and patient experience measures.
The PCPCM was added to the routine patient experience survey administered at a multi-site academic primary care practice in Toronto, Canada. The survey was administered to patients with an e-mail on file and included questions on demographics, timely access, patient-centeredness, care continuity, and the PCPCM. Descriptive statistics were used to summarize the PCPCM. We used 1-way analysis of variance to determine whether there was an association between the PCPCM and patient demographics and patient experience measures at the team level.
We analyzed 2581 survey responses. The mean PCPCM score was 3.47. The PCPCM was higher for people with better health status ( < ), those born in Canada ( = ), those with higher educational attainment ( = ), and those who knew their provider for longer ( < ). There was no significant association between PCPCM and income quintile ( = ). The PCPCM was significantly associated with all 9 patient experience measures related to access, patient-centeredness, and care continuity ( < ).
The 11-item PCPCM is a feasible and meaningful measure that reflects patient-reported access, continuity, and patient-centeredness and can be incorporated into primary care patient experience surveys to evaluate and improve quality of care.
以患者为中心的初级保健措施(PCPCM)是一种相对较新的、简洁而全面的初级保健质量衡量标准。本研究的目的是在加拿大实施 PCPCM,并了解 PCPCM 与社会人口学和患者体验措施之间是否存在关联。
在加拿大多伦多的一个多地点学术初级保健实践中,将 PCPCM 添加到常规患者体验调查中。该调查通过电子邮件向患者发送,并包括人口统计学、及时获得医疗服务、以患者为中心、护理连续性以及 PCPCM 的相关问题。使用描述性统计来总结 PCPCM。我们使用单因素方差分析来确定 PCPCM 与团队层面的患者人口统计学和患者体验措施之间是否存在关联。
我们分析了 2581 份调查回复。PCPCM 的平均得分为 3.47。健康状况较好的人(<)、在加拿大出生的人(=)、受教育程度较高的人(=)以及与提供者相识时间较长的人(<)的 PCPCM 得分更高。PCPCM 与收入五分位数(=)之间没有显著关联。PCPCM 与所有 9 项与获得医疗服务、以患者为中心和护理连续性相关的患者体验措施均显著相关(<)。
11 项 PCPCM 是一种可行且有意义的衡量标准,反映了患者报告的获得医疗服务的机会、连续性和以患者为中心的程度,可以纳入初级保健患者体验调查中,以评估和改善医疗服务质量。