title: Patient Experiences with Care Differ with Chronic Care Management in a Federally Qualified Community Health Center.
abstract: This study compares patient experience among practices that vary in adoption of the chronic care management (CCM) dimension of the patient-centered medical home (PCMH) model that focuses on care coordination and management of chronic diseases. Study participants were 2903 adult patients (ages 18 years or older) at 14 primary care centers in California. Seven of the sites were classified as high (more CCM) and the other 7 low on a CCM index. Hypotheses were tested using ordinary least squares regression models. After adjusting for the number of providers at the sites, high CCM scores were associated with significantly better overall ratings of providers, provider communication, follow-up on test results, and willingness to recommend the provider (differences of 5.82, 6.85, 9.81, and 4.56, respectively on the 0-100 scale scores). The results of this study provide support for the value of the PCMH for patient experiences with care.
authors.affiliation: 1 RAND Center for Causal Inference , RAND Corporation, Pittsburgh, Pennsylvania.
authors.forename: Claude M
authors.initials: CM
authors.lastname: Setodji
authors.affiliation: 2 RAND Corporation , Santa Monica, California.
authors.forename: Denise D
authors.initials: DD
authors.lastname: Quigley
authors.affiliation: 2 RAND Corporation , Santa Monica, California.
authors.forename: Marc N
authors.initials: MN
authors.lastname: Elliott
authors.affiliation: 2 RAND Corporation , Santa Monica, California.
authors.forename: Q
authors.initials: Q
authors.lastname: Burkhart
authors.affiliation: 3 Keck School of Medicine, University of Southern California , Los Angeles, California.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Hochman
authors.affiliation: 4 AltaMed Health Services , Los Angeles, California.
authors.forename: Alex Y
authors.initials: AY
authors.lastname: Chen
authors.affiliation: 2 RAND Corporation , Santa Monica, California.|5 Division of General Internal Medicine & Health Services Research , Department of Medicine, UCLA, Los Angeles, California.
authors.forename: Ron D
authors.initials: RD
authors.lastname: Hays
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002140:California; D002908:Chronic Disease / Q000628:therapy*; D003151:Community Health Centers; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D018802:Patient-Centered Care; D055815:Young Adult
keywords: CAHPS; chronic care management; patient experience; patient-centered medical home