The comparative impact of different patient-centered medical home domains on satisfaction among individuals living with type II diabetes

Chronic illnesses like type 2 diabetes are costly and difficult to treat. Patient-centered medical homes (PCMH) have the potential to improve patient satisfaction in this population. However, which domains have the most impact on patient satisfaction has not been established. The aim of this study w...

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Autores principales:	Jon Mills, Allyson Hall, Rebecca Tanner, Jeffrey Harman, David Wood, Charles Lorbeer
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2015
Materias:	patient experience patient satisfaction patient-centered care patient- and family- centered care diabetes Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/63f93186cf364eb8970d18b9e9447f93
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spelling	oai:doaj.org-article:63f93186cf364eb8970d18b9e9447f932021-11-15T04:21:32ZThe comparative impact of different patient-centered medical home domains on satisfaction among individuals living with type II diabetes2372-0247https://doaj.org/article/63f93186cf364eb8970d18b9e9447f932015-11-01T00:00:00Zhttps://pxjournal.org/journal/vol2/iss2/17https://doaj.org/toc/2372-0247Chronic illnesses like type 2 diabetes are costly and difficult to treat. Patient-centered medical homes (PCMH) have the potential to improve patient satisfaction in this population. However, which domains have the most impact on patient satisfaction has not been established. The aim of this study was to assess the relative strength of association between seven PCMH domains and two measures of satisfaction. Cross-sectional data were used in this observational study collected from a random sample of adults aged 18-89 with type 2 diabetes (n=1301) seen at 4 PCMHs. The Ambulatory Care Experiences Survey instrument was used to assess all measures. Dependent variables included 2 measures of patient satisfaction: overall care and personal doctor. Independent variables included patient perceptions of implementation level of 7 PCMH domains categorized into two dimensions: administrative features of care and physician-patient interactions. Administrative features of care include organizational access, integration of care and office staff helpfulness. Physician-patient interactions include communication, comprehensive knowledge and interpersonal treatment. Analysis was conducted using linear regression. The results reveal all physician-patient interaction PCMH domains were significantly associated with both measures of satisfaction. The relationships for administrative features of care were dependent upon the satisfaction outcome being analyzed. Communication and comprehensive knowledge had the strongest association of all domains. The authors conclude variations in importance of PCMH domains on satisfaction exist. Physician-patient interaction domains are the strongest contributors to patient satisfaction and overall experience. Understanding which PCMH domains have the largest impact can inform physician practice’s efforts to improve outcomes of care.Jon MillsAllyson HallRebecca TannerJeffrey HarmanDavid WoodCharles LorbeerThe Beryl Institutearticlepatient experiencepatient satisfactionpatient-centered carepatient- and family- centered carediabetesMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient experience patient satisfaction patient-centered care patient- and family- centered care diabetes Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient experience patient satisfaction patient-centered care patient- and family- centered care diabetes Medicine (General) R5-920 Public aspects of medicine RA1-1270 Jon Mills Allyson Hall Rebecca Tanner Jeffrey Harman David Wood Charles Lorbeer The comparative impact of different patient-centered medical home domains on satisfaction among individuals living with type II diabetes
description	Chronic illnesses like type 2 diabetes are costly and difficult to treat. Patient-centered medical homes (PCMH) have the potential to improve patient satisfaction in this population. However, which domains have the most impact on patient satisfaction has not been established. The aim of this study was to assess the relative strength of association between seven PCMH domains and two measures of satisfaction. Cross-sectional data were used in this observational study collected from a random sample of adults aged 18-89 with type 2 diabetes (n=1301) seen at 4 PCMHs. The Ambulatory Care Experiences Survey instrument was used to assess all measures. Dependent variables included 2 measures of patient satisfaction: overall care and personal doctor. Independent variables included patient perceptions of implementation level of 7 PCMH domains categorized into two dimensions: administrative features of care and physician-patient interactions. Administrative features of care include organizational access, integration of care and office staff helpfulness. Physician-patient interactions include communication, comprehensive knowledge and interpersonal treatment. Analysis was conducted using linear regression. The results reveal all physician-patient interaction PCMH domains were significantly associated with both measures of satisfaction. The relationships for administrative features of care were dependent upon the satisfaction outcome being analyzed. Communication and comprehensive knowledge had the strongest association of all domains. The authors conclude variations in importance of PCMH domains on satisfaction exist. Physician-patient interaction domains are the strongest contributors to patient satisfaction and overall experience. Understanding which PCMH domains have the largest impact can inform physician practice’s efforts to improve outcomes of care.
format	article
author	Jon Mills Allyson Hall Rebecca Tanner Jeffrey Harman David Wood Charles Lorbeer
author_facet	Jon Mills Allyson Hall Rebecca Tanner Jeffrey Harman David Wood Charles Lorbeer
author_sort	Jon Mills
title	The comparative impact of different patient-centered medical home domains on satisfaction among individuals living with type II diabetes
title_short	The comparative impact of different patient-centered medical home domains on satisfaction among individuals living with type II diabetes
title_full	The comparative impact of different patient-centered medical home domains on satisfaction among individuals living with type II diabetes
title_fullStr	The comparative impact of different patient-centered medical home domains on satisfaction among individuals living with type II diabetes
title_full_unstemmed	The comparative impact of different patient-centered medical home domains on satisfaction among individuals living with type II diabetes
title_sort	comparative impact of different patient-centered medical home domains on satisfaction among individuals living with type ii diabetes
publisher	The Beryl Institute
publishDate	2015
url	https://doaj.org/article/63f93186cf364eb8970d18b9e9447f93
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The comparative impact of different patient-centered medical home domains on satisfaction among individuals living with type II diabetes

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