A Study of the Patient-Centered Medical Home: Lessons from a New York State Commu

以患者为中心的医疗之家研究：纽约州社区的经验教训

• 批准号: 8098670
• 负责人: Neil S Calman
• 金额: $ 10万
• 依托单位: INSTITUTE FOR FAMILY HEALTH
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8098670
• 关键词: Study; Patient; Centered; Medical; Home

DESCRIPTION (provided by applicant): The Institute for Family Health, which operates a diverse network of 16 federally-qualified community health centers in New York State, proposes to conduct a multi-method study of the implementation and impact of its transformation to a patient-centered home model of care (PCMH). This model has high potential to improve health care quality and engage patients. The study's research team includes Institute leaders and partners at the New York Academy of Medicine and Drexel University. The goal of the study is to inform the efforts of CHCs and primary care practices as they strive to adopt the PCMH model. Specific project aims are to: * Identify and describe processes of care, their financial costs, and other resource requirements; * Examine and validate changes in health service utilization and outcomes among patients, with a focus on diabetes, depression and hyperlipidemia, that resulted from the implementation of the PCMH model; and * Explicate the organizational, contextual, procedural and other variables within the Institute and its individual health centers that impacted on the implementation of the PCMH model and improvements in care. Research Design: This study will incorporate individual, provider and site data collected from the Institute's electronic health record system; in-depth interviews with patients, administrators, providers and staff; and reviews of secondary source documents. Qualitative methods will be used to identify implementation processes, workflow changes, perceptions of change, resource requirements, contextual factors, and linkages and pathways between system, individual and site level practice change. Quantitative methods will focus on measures of change in practice consistent with PCMH standards, changes in service utilization at the patient level, improvements in health outcomes, and costs associated with these changes. PUBLIC HEALTH RELEVANCE: The Institute for Family Health, which operates a diverse network of 16 federally-qualified community health centers in New York State, proposes to conduct a rigorous multi-method study of the implementation and impact of its transformation to a patient-centered home model of care (PCMH). Despite limited evidence, the PCMH model is viewed as having high potential to improve health care quality and engage patients, and uptake of the model and related reimbursement incentives is accelerating. The study findings will inform the efforts of CHCs and other primary care practices as they strive to adopt the PCMH model.

描述（由申请人提供）：家庭健康研究所在纽约州运营着一个由 16 个联邦合格的社区卫生中心组成的多元化网络，建议对其实施情况及其转变对患者的影响进行多方法研究-以家庭为中心的护理模式（PCMH）。这种模式在提高医疗保健质量和吸引患者方面具有很大潜力。该研究的研究团队包括纽约医学院和德雷塞尔大学的研究所领导和合作伙伴。该研究的目的是向 CHC 和初级保健实践提供信息，帮助他们努力采用 PCMH 模式。 具体项目目标是： * 确定并描述护理流程、财务成本和其他资源需求； * 检查并验证实施 PCMH 模型导致的患者卫生服务利用和结果的变化，重点关注糖尿病、抑郁症和高脂血症；和 * 阐明研究所及其各个健康中心内影响 PCMH 模型实施和护理改进的组织、背景、程序和其他变量。 研究设计：本研究将纳入从研究所的电子健康记录系统收集的个人、提供者和站点数据；与患者、管理人员、提供者和工作人员进行深入访谈；以及二手源文件的审查。定性方法将用于确定实施过程、工作流程变更、变更感知、资源需求、背景因素以及系统、个人和站点级别实践变更之间的联系和路径。定量方法将重点关注符合 PCMH 标准的实践变化、患者层面服务利用的变化、健康结果的改善以及与这些变化相关的成本。 公共卫生相关性：家庭健康研究所在纽约州运营着一个由 16 个联邦合格的社区卫生中心组成的多元化网络，该研究所提议对其向以患者为中心的转变的实施和影响进行严格的多方法研究家庭护理模式（PCMH）。尽管证据有限，但 PCMH 模型被认为具有提高医疗保健质量和吸引患者的巨大潜力，并且该模型和相关报销激励措施的采用正在加速。研究结果将为社区卫生中心和其他初级保健实践努力采用 PCMH 模式提供信息。