Does Patient-Centered Medical Home Recognition Relate to Accountable Care Organization Participation?
Does Patient-Centered Medical Home Recognition Relate to Accountable Care Organization Participation?
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以患者为中心的医疗之家认可与责任医疗组织的参与有关吗？
DOI：
10.1089/pop.2017.0096
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发表时间：
2018
影响因子：
2.5
通讯作者：
Ortiz,Judith
中科院分区：
文献类型：
--
作者：
Lin,Yi-Ling;Du,Yuan;Gomez,Cristina;Ortiz,Judith
截至2015年4月，只有不到10%的医疗保险共享储蓄计划责任医疗组织（MSSP ACOs）包括农村卫生诊所（rhc）。为了理解为什么RHCs没有更多地参与到蚁群管理模式中，本研究考察了几个因素对蚁群管理参与的影响。本研究的数据是通过2012年、2013年和2014年夏季对9个州的所有rhc进行的调查收集的。本研究采用调查研究的横断面设计。分析单位为RHC；总样本量为178。本研究发现，那些对ACOs知之甚少的受访者“加入ACOs的意愿”得分最低，随着时间的推移，RHC加入ACOs的意愿增加。以患者为中心的医疗之家（PCMH）认知是影响医院采用ACO模型的最重要因素。如果ACO模式在农村地区的采用增加，本研究表明，策略需要包括以下方法：(1)针对具有PCMH识别的RHCs；(2)提高农村居民对PCMH的认知度；(3)增加乡村医生对ACO是什么、该模式如何运作、为何该模式可使乡村医生和其他农村初级保健提供者受益等方面的知识。
As of April 2015, less than 10% of Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) included Rural Health Clinics (RHCs). In order to understand why RHCs are not participating in this ACO model in greater numbers, this study examined the influence of several factors on ACO participation. Data for this study were collected via a survey distributed during the summers of 2012, 2013, and 2014 to all RHCs in 9 states. This study had a cross-sectional design using survey research. The unit of analysis was the RHC; the total sample size was 178. This study found that those respondents who reported knowing very little about ACOs had the lowest “willingness to join an ACO” score and that the passage of time increased RHC willingness to join an ACO. Also, patient-centered medical home (PCMH) recognition was the most influential factor related to an RHC's adopting the ACO model. If ACO model adoption is to increase in rural areas, this study suggests that strategies would need to include methods for (1) targeting RHCs that have PCMH recognition; (2) increasing PCMH recognition in rural areas; and (3) increasing RHC knowledge about what an ACO is, how the model works, and why this model may benefit RHCs and other rural primary care providers.