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Federally qualified health center transformation to the patient-centered medical home model: A qualitative study of provider experiences.

机译:具有联邦资格的医疗中心向以患者为中心的医疗之家模式的转变:对提供者经验的定性研究。

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摘要

A semi-structured interview was conducted with administrators within four separate federally qualified health centers (FQHCs) that previously achieved level 3 patient-centered medical home (PCMH) recognition from the National Committee for Quality Assurance (NCQA). It was hypothesized that these organizations may be able to share valuable lessons with other sites who are interested in pursuing NCQA-PCMH recognition. A qualitative framework analysis was performed, revealing various themes and sub-themes including reasons for seeking recognition, organizational performance improvements, diagnosis of approach, effectiveness of approach and overall lessons learned. Difficulties reported include interpretation of NCQA standards, data collection and reporting, patient engagement, restructuring of personnel responsibilities and emphasizing the importance of gaining participation throughout the organization.
机译:在四个单独的联邦合格健康中心(FQHC)中与管理人员进行了半结构化访谈,该中心先前获得了美国国家质量保证委员会(NCQA)的三级以患者为中心的医疗之家(PCMH)认可。据推测,这些组织可能能够与其他有兴趣追求NCQA-PCMH认可的站点共享宝贵的经验教训。进行了定性框架分析,揭示了各种主题和子主题,包括寻求认可的原因,组织绩效的提高,方法的诊断,方法的有效性和整体经验教训。报告的困难包括对NCQA标准的解释,数据收集和报告,患者参与,人员职责的结构调整以及强调在整个组织中参与的重要性。

著录项

  • 作者

    Ashton, David Wesley.;

  • 作者单位

    The University of Texas School of Public Health.;

  • 授予单位 The University of Texas School of Public Health.;
  • 学科 Public health.;Public policy.;Health care management.
  • 学位 M.P.H.
  • 年度 2014
  • 页码 43 p.
  • 总页数 43
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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