Journal article
Comparing Patient-Centered Medical Home Implementation in Urban and Rural VHA Clinics Results From the Patient Aligned Care Team Initiative
The Journal of ambulatory care management, Vol.41(1), pp.47-57
01/01/2018
DOI: 10.1097/JAC.0000000000000212
PMID: 28990992
Abstract
Rural Veterans Health Administration (VHA) primary care clinics are smaller, have fewer staff, and serve more rural patients compared with urban VHA primary care clinics. This may lead to different challenges to implementation of the Patient-Centered Medical Home (PCMH) model, the Patient Aligned Care Team, in the VHAs' large integrated health system. In this cross-sectional observational study of 905 VHA primary clinics in the United States and Puerto Rico, we found overall PCMH implementation was greater in rural compared to urban primary care clinics. Urban-rural differences in PCMH implementation may largely be related to clinic organizational factors.
Details
- Title: Subtitle
- Comparing Patient-Centered Medical Home Implementation in Urban and Rural VHA Clinics Results From the Patient Aligned Care Team Initiative
- Creators
- Victoria JohnsonEdwin Wong - University of WashingtonMichelle Lampman - VA Midwest Health Care NetworkIdamay Curtis - VA Puget Sound Health Care SystemJohn Fortney - University of WashingtonPeter Kaboli - University of Iowa, Internal MedicineStephan Fihn - University of WashingtonKarin Nelson - University of Washington
- Resource Type
- Journal article
- Publication Details
- The Journal of ambulatory care management, Vol.41(1), pp.47-57
- DOI
- 10.1097/JAC.0000000000000212
- PMID
- 28990992
- NLM abbreviation
- J Ambul Care Manage
- ISSN
- 0148-9917
- eISSN
- 1550-3267
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 11
- Grant note
- Department of Veterans Affairs; US Department of Veterans Affairs
- Language
- English
- Date published
- 01/01/2018
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9984094319802771
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