Current yardsticks may be inadequate for measuring quality improvements from the medical home.
Health Aff (Millwood)
; 29(5): 859-66, 2010 May.
Article
en En
| MEDLINE
| ID: mdl-20439872
ABSTRACT
Health reform legislation grants authority for patient-centered medical home pilot projects to test changes in the way primary care is provided. There is concern that using a measurement tool to qualify medical homes that is solely based on the presence or absence of "system elements" may miss the point conceptually and lead physicians astray in attempts to transform their entire practices. To find out whether and how practice characteristics explain health care quality, we examined risk-adjusted composite measures of quality for common chronic and acute care conditions and preventive care from 202 general internists working primarily in small primary care office settings. We found that current conceptions and measures of what constitutes "successful" practice systems and care are incomplete, and have limited associations with measures of health care quality. Future research should explore more fully the issues around physician competence, including competence in systems and quality improvement; the interactive nature of clinical practice; and other important system elements not captured by current tools.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atención Dirigida al Paciente
/
Indicadores de Calidad de la Atención de Salud
/
Mejoramiento de la Calidad
Tipo de estudio:
Etiology_studies
/
Evaluation_studies
Aspecto:
Implementation_research
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Health Aff (Millwood)
Año:
2010
Tipo del documento:
Article
País de afiliación:
Estados Unidos