Principles of the Patient-Centered Medical Home and Preventive Services Delivery
Principles of the Patient-Centered Medical Home and Preventive Services Delivery
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DOI：
10.1370/afm.1080
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发表时间：
2010-03-01
影响因子：
4.4
通讯作者：
Crabtree, Benjamin F.
中科院分区：
文献类型：
--
作者：
Ferrante, Jeanne M.;Balasubramanian, Bijal A.;Crabtree, Benjamin F.
目的有限的研究检验了以患者为中心的医疗之家（PCMH）的原则和改善的结果。我们研究了PCMH原则（私人医生、医生指导的团队、全人导向、护理协调、质量和安全以及提高可及性）是否与接受预防服务有关。方法：我们采用基线患者和执业成员调查和来自24个初级保健办公室的质量改进试验的图表审计进行横断面分析。采用分层线性模型检验PCMH原则与预防服务（接受癌症筛查、脂质筛查、流感疫苗接种和行为咨询）的关系。结果：较高的全球PCMH评分与接受预防服务相关(β = 2.3
PURPOSE Limited research exists examining the principles of the patient-centered medical home (PCMH) and improved outcomes. We examined whether PCMH principles (personal physician, physician-directed team, whole-person orientation, coordination of care, quality and safety, and enhanced access) are associated with receipt of preventive services.METHODS We undertook cross-sectional analyses using baseline patient and practice member surveys and chart audits from a quality improvement trial in 24 primary care offices. Association of PCMH principles with preventive services (receipt of cancer screening, lipid screening, influenza vaccination, and behavioral counseling) was examined using hierarchical linear modeling.RESULTS Higher global PCMH scores were associated with receipt of preventive services (beta = 2.3; P