How nurse-led practices perceive implementation of the patient-centered medical home.
Appl Nurs Res
; 34: 34-39, 2017 04.
Article
em En
| MEDLINE
| ID: mdl-28342621
ABSTRACT
PURPOSE:
The Affordable Care Act (ACA) promotes the Patient-Centered Medical Home (PCMH) model as a way to improve healthcare quality, the patient experience, and has identified nurse-led primary care as a mechanism meeting the increasing demand for quality primary care. The purpose of this study was to investigate the implementation of a PCMH model in nurse-led primary care practices and to identify facilitators and barriers to the implementation of this model.METHODS:
Data were collected through in-depth interviews with providers and staff in nurse-led practices.RESULTS:
These data suggest two categories of processes that facilitate the integration of PCMH in the nurse-led practicesetting:
patient-oriented facilitators and organizational facilitators. In addition, a number of barriers were identified to implementing the PCMH model. Overall, these practices creatively engaged in the transformation process by structuring themselves as a complex adaptive system and building upon the core principles of nurse-led care.CONCLUSION:
Since the core principles of nurse-led care map onto many of the same principles of the PCMH model, this study discusses the possibility that nurse-led practices may experience fewer barriers when transitioning into PCMHs.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Assistência Centrada no Paciente
/
Padrões de Prática em Enfermagem
Tipo de estudo:
Guideline
/
Qualitative_research
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Appl Nurs Res
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos