To examine the importance of having a regular provider in community health centers (CHCs) for high quality care.
Analyses of a national survey-the Commonwealth Fund 2006 Health care Quality Survey-among patients with a private doctor's (PMD) office (n=1,743) or CHC (n=275) as their regular source of care. Outcomes include prevention measures, and measures of patient experience.
Patients at CHCs are less likely than patients who use a PMD to report having a regular doctor (53% vs. 95%, p<or=.001). They also report lower rates for all the preventive care and patient experience measures. However, the differences in quality are eliminated when CHC patients have a regular provider.
When CHC patients have a regular provider, they receive higher quality care. Policymakers should support expansions of the CHC health care workforce to ensure patients have access to a regular provider, which leads to higher quality care.
"Previous research indicates that both patients and physicians value this aspect of outpatient medical care [2-4]. Moreover, continuity of care is associated with improved management of chronic disease, increased administration of preventative health services, and fewer emergency department visits and hospitalizations [5-11]. "
[Show abstract][Hide abstract] ABSTRACT: Continuity of patient care is one of the cornerstones of primary care.
To examine publicly available, Internet-based reviews of adult primary care physicians, specifically written by patients who report long-term relationships with their physicians.
This substudy was nested within a larger qualitative content analysis of online physician ratings. We focused on reviews reflecting an established patient-physician relationship, that is, those seeing their physicians for at least 1 year.
Of the 712 Internet reviews of primary care physicians, 93 reviews (13.1%) were from patients that self-identified as having a long-term relationship with their physician, 11 reviews (1.5%) commented on a first-time visit to a physician, and the remainder of reviews (85.4%) did not specify the amount of time with their physician. Analysis revealed six overarching domains: (1) personality traits or descriptors of the physician, (2) technical competence, (3) communication, (4) access to physician, (5) office staff/environment, and (6) coordination of care.
Our analysis shows that patients who have been with their physician for at least 1 year write positive reviews on public websites and focus on physician attributes.
Journal of Medical Internet Research 07/2013; 15(7):e131. DOI:10.2196/jmir.2552 · 3.43 Impact Factor
"Differences in pain management, access to acute cardiovascular care, cancer screening, and hypertension control are among the recurring examples of inequity in health care experienced by African Americans, Latinos, American Indians, and Asian Pacific Islander groups. Moreover, Beal and Hernandez (2010) noted that many of these disparities are the result of differences in access to regular sources of primary care. Minority groups with regular sources of reliable primary care did not experience disparities (when compared with whites) for a number of important measures of prevention, screening, and treatment. "
[Show abstract][Hide abstract] ABSTRACT: Participants in the activities of the IOM Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities. The views expressed in this discussion paper are those of the authors and not necessarily of the authors' organizations or of the Institute of Medicine. The paper is intended to help inform and stimulate discussion. It has not been subjected to the review procedures of the Institute of Medicine and is not a report of the Institute of Medicine or of the National Research Council.
[Show abstract][Hide abstract] ABSTRACT: Diabetic retinopathy (DR) is the leading cause of acquired blindness in U.S. adults. Early detection prevents progression. Screening rates are only 10% in medically underserved populations.
A statewide telemedicine-based program within primary care centers was implemented to improve DR screening, detection and referrals for underserved patients.
Retrospective, descriptive study.
A total of 568 adults were screened during a comprehensive nurse visit from July 2009-June 2010 and had complete data available. Nearly 60% were minorities and 24% were uninsured. A total of 145 cases of DR were identified. The majority were recommended to return in one year for follow-up, while 75 were referred to a specialist.
Telemedicine using digital imaging technology in the primary care office is a strategy that can be used to screen underserved and at-risk patients for DR, increase compliance with screening, and streamline specialist referrals.
Journal of Health Care for the Poor and Underserved 01/2011; 22(3):804-16. DOI:10.1353/hpu.2011.0066 · 1.10 Impact Factor
Note: This list is based on the publications in our database and might not be exhaustive.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.