Identifying Individual and Clinic Characteristics Associated With Primary Care Provider Turnover During Implementation of the Veterans Health Administration Patient-Centered Medical Home

Ashok Reddy; Charles Maynard; Peter Kaboli; Seppo T. Rinne; Nora B. Henrikson; Karin M. Nelson; Chuan-Fen Liu; Ryan Sterling; Edwin Wong

doi:10.1097/JAC.0000000000000469

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Identifying Individual and Clinic Characteristics Associated With Primary Care Provider Turnover During Implementation of the Veterans Health Administration Patient-Centered Medical Home

Journal article

Peer reviewed

Identifying Individual and Clinic Characteristics Associated With Primary Care Provider Turnover During Implementation of the Veterans Health Administration Patient-Centered Medical Home

Ashok Reddy, Charles Maynard, Peter Kaboli, Seppo T. Rinne, Nora B. Henrikson, Karin M. Nelson, Chuan-Fen Liu, Ryan Sterling and Edwin Wong

The Journal of ambulatory care management, Vol.46(3), pp.221-227

07/2023

DOI: 10.1097/JAC.0000000000000469

PMID: 37026706

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Abstract

Understanding which factors predict primary care provider (PCP) turnover can help organizations prepare for PCP shortages. We conducted a retrospective cohort study of Veteran Health Administration PCPs between 2012 and 2016. We analyzed whether 7 domains of the medical home (PCMH) implementation—including access, care coordination, comprehensiveness, self-management support, communication, shared decision-making, and team-based care—were associated with PCP turnover. We found that 2 domains of PCMH (access and self-management) were associated with lower turnover, which may reflect that practice cultures that support these characteristics may lower PCP turnover.

health care workforce

patient-centered medical home

primary care physician turnover

Details

Title: Subtitle: Identifying Individual and Clinic Characteristics Associated With Primary Care Provider Turnover During Implementation of the Veterans Health Administration Patient-Centered Medical Home
Creators: Ashok Reddy - VA Puget Sound Health Care System
Charles Maynard - VA Puget Sound Health Care System
Peter Kaboli - Iowa City VA Health Care System
Seppo T. Rinne
Nora B. Henrikson - Kaiser Permanente Washington Health Research Institute
Karin M. Nelson - University of Washington
Chuan-Fen Liu - VA Puget Sound Health Care System
Ryan Sterling - VA Puget Sound Health Care System
Edwin Wong - VA Puget Sound Health Care System
Resource Type: Journal article
Publication Details: The Journal of ambulatory care management, Vol.46(3), pp.221-227
Publisher: Wolters Kluwer Health, Inc; PHILADELPHIA
DOI: 10.1097/JAC.0000000000000469
PMID: 37026706
ISSN: 0148-9917
eISSN: 1550-3267
Language: English
Electronic publication date: 04/07/2023
Date published: 07/2023
Academic Unit: Epidemiology; Internal Medicine
Record Identifier: 9984748155502771

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