Patients Use the Internet to Enter the Medical Home

Departmentof Community and Family Medicine, Dartmouth Medical School, Hanover, New Hampshire, USA.
The Journal of ambulatory care management 01/2011; 34(1):38-46. DOI: 10.1097/JAC.0b013e3181fff641
Source: PubMed


There is a large gap between the promise of patient-centered medical home (PCMH) and our current capacity to define and measure it. The purpose of this article is to describe the findings of "real-time" patient-reported data about constructs of the PCMH and to demonstrate how an Internet-based method can be useful for obtaining patient report about the PCMH. We find that patients' Internet ratings seem stable and demonstrate relationships that fit constructs and models for the PCMH. We also find that current PCMH performance across this sample of 69 clinical settings is highly variable and still leaves a great deal of room for improvement.

Download full-text


Available from: John H Wasson, Jan 21, 2016
  • Source
    • "They suggest that this hesitancy is due to the lack of visible employer involvement in most PCMH demonstrations, wide variability in pilot designs , fear of the costs, uncertainty about the benefits, and disruption of existing patientprovider relationships. While Wasson et al. (2010) are optimistic about patient readiness and willingness for electronic entry into the PCMH, that may represent an atypical minority of patients. Overall, it would be nice to have more information here. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Medical homes are widely viewed as a solution to the problems with American medical care, despite lack of answers to many important questions. Review of articles from issues of 5 journals devoted to the medical home in 2010 provides few answers to those questions. However, with some exceptions, those answers seem more likely to come from real-life efforts to implement medical homes than from the research literature. In any other industry, that would be the case, especially the key questions about the financial viability of both the transformation of traditional practices and sustainability of the new care model.
    Preview · Article · Jan 2011 · The Journal of ambulatory care management
  • [Show abstract] [Hide abstract]
    ABSTRACT: As part of a health "checkup," a large national sample of adults used an Internet technology that also asks about adverse experiences. About half of all respondents do not feel very confident they can manage and control most of their health problems, almost 30% consider that their hospital or emergency department use was unnecessary, 20% believe that their medications may be causing illness, and 1.5% report a medical-related harm. Routine measures across a spectrum of adverse experiences are easy to obtain as part of everyday practice. Attention to these measures by health professionals should make care safer and less wasteful.
    No preview · Article · Jun 2013 · The Journal of ambulatory care management
  • [Show abstract] [Hide abstract]
    ABSTRACT: Patient-reported experience of care predicts health care outcomes. Fourteen US and Canadian practices intercalated a standard ambulatory care Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey within their usual Internet-based survey to compare results from the Internet survey, Internet CAHPS survey, and a mailed CAHPS survey. They found that practice performance rankings obtained via the multi-item CAHPS survey were equivalent to a single measure captured by the Internet survey.
    No preview · Article · Jun 2013 · The Journal of ambulatory care management
Show more