RAND Corporation, Santa Monica, California (Dr Quigley and Mr Qureshi); and UCLA, Division of General Internal Medicine & Health Services Research, Los Angeles, California (Dr Hays).
J Ambul Care Manage. 2023;46(1):34-44. doi: 10.1097/JAC.0000000000000442. Epub 2022 Oct 8.
Patient-centered medical home takes years to attain. Fifteen-to-eighteen percent of US primary care practices in 2008-2017 sought or maintained patient-centered medical home recognition. We conducted interviews with a stratified-random sample of 105 of these practices to determine why patient experience surveys were chosen. Fifty-one were using a Consumer Assessment of Healthcare Providers and Systems survey and 53 administering another patient survey. The 3 most common reasons were (1) to compare performance against other practices, which requires systematically collected data across large numbers of practices (ie, the Consumer Assessment of Healthcare Providers and Systems survey), (2) participation in an external patient-centered medical home program, and (3) survey administration cost. Leaders invested in a second patient survey for quality improvement needs.
以患者为中心的医疗之家需要数年时间才能实现。2008 年至 2017 年，美国 15%至 18%的初级保健实践寻求或保持以患者为中心的医疗之家认可。我们对这些实践中的 105 个进行了分层随机访谈，以确定为什么选择患者体验调查。其中 51 个使用了医疗保健提供者和系统消费者评估调查，53 个管理另一个患者调查。选择患者体验调查的三个最常见原因是：（1）将绩效与其他实践进行比较，这需要在大量实践中系统地收集数据（即医疗保健提供者和系统消费者评估调查）；（2）参与外部以患者为中心的医疗之家计划；（3）调查管理成本。领导者为满足质量改进需求而投资于第二项患者调查。
