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Comparing Patient-Centered Medical Home Implementation in Urban and Rural VHA Clinics: Results From the Patient Aligned Care Team Initiative.
- Source :
- Journal of Ambulatory Care Management; Jan-Mar2018, Vol. 41 Issue 1, p47-57, 11p
- Publication Year :
- 2018
-
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. Urbanrural differences in PCMH implementation may largely be related to clinic organizational factors. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHI-squared test
COMPARATIVE studies
CONFIDENCE intervals
VETERANS
NONPARAMETRIC statistics
SCIENTIFIC observation
GENERAL practitioners
PRIMARY health care
REGRESSION analysis
RESEARCH funding
RURAL hospitals
STATISTICS
T-test (Statistics)
URBAN hospitals
LOGISTIC regression analysis
HUMAN services programs
CROSS-sectional method
PATIENT-centered care
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 01489917
- Volume :
- 41
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Journal of Ambulatory Care Management
- Publication Type :
- Academic Journal
- Accession number :
- 127057680
- Full Text :
- https://doi.org/10.1097/JAC.0000000000000212