La Trobe

File(s) not publicly available

Review of patient-reported experience within Patient-Centered Medical Homes: Insights for Australian Health Care Homes

journal contribution
posted on 03.03.2021, 02:40 by M O'Loughlin, Jane Mills, R McDermott, L Harriss
© La Trobe University 2017. Understanding patient experience is necessary to advance the patient-centred approach to health service delivery. Australia's primary healthcare model, the 'Health Care Home', is based on the 'Patient-Centered Medical Home' (PCMH) model developed in the United States. Both these models aim to improve patient experience; however, the majority of existing PCMH model evaluations have focussed on funding, management and quality assurance measures. This review investigated the scope of evidence reported by adult patients using a PCMH. Using a systematic framework, the review identified 39 studies, sourced from 33 individual datasets, which used both quantitative and qualitative approaches. Patient experience was reported for model attributes, including the patient-physician and patient-practice relationships; care-coordination; access to care; and, patient engagement, goal setting and shared decision-making. Results were mixed, with the patient experience improving under the PCMH model for some attributes, and some studies indicating no difference in patient experience following PCMH implementation. The scope and quality of existing evidence does not demonstrate improvement in adult patient experience when using the PCMH. Better measures to evaluate patient experience in the Australian Health Care Home model are required.

Funding

This research was conducted with the support of the Australian Institute of Tropical Health and Medicine (AITHM), Centre for Chronic Disease Prevention, James Cook University, Australia and the Australian Government's Research Training Program Scholarship.

History

Publication Date

01/01/2017

Journal

Australian Journal of Primary Health

Volume

23

Issue

5

Pagination

(p. 429-439)

Publisher

CSIRO PUBLISHING

ISSN

1448-7527

Rights Statement

The Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.