TY - JOUR
T1 - Survey shows that fewer than a third of patient-centered medical home practices engage patients in quality improvement
AU - Han, Esther
AU - Scholle, Sarah Hudson
AU - Morton, Suzanne
AU - Bechtel, Christine
AU - Kessler, Rodger
PY - 2013/2
Y1 - 2013/2
N2 - Directly involving patients and families in care improvement increasingly is viewed as an important component of patient-centered care. To assess the extent to which practices actually involve patients, we surveyed 112 patient-centered medical home practices in twenty-two states. Nearly all of these practices sought patient feedback. However, only 29 percent involved patients and families as advisers and sought feedback through surveys, and only 32 percent involved patients in a continuing role in quality improvement. Interviews showed that practices that highly value patient involvement overcame barriers to ongoing patient participation. We argue that a cultural shift is needed in how practices view patients as partners, not just in areas such as personal responsibility and self-management, but also in quality improvement and governance. Practices must gain more experience and see more examples of the benefits of engaging patients, and they may need more incentives and support for engaging them.
AB - Directly involving patients and families in care improvement increasingly is viewed as an important component of patient-centered care. To assess the extent to which practices actually involve patients, we surveyed 112 patient-centered medical home practices in twenty-two states. Nearly all of these practices sought patient feedback. However, only 29 percent involved patients and families as advisers and sought feedback through surveys, and only 32 percent involved patients in a continuing role in quality improvement. Interviews showed that practices that highly value patient involvement overcame barriers to ongoing patient participation. We argue that a cultural shift is needed in how practices view patients as partners, not just in areas such as personal responsibility and self-management, but also in quality improvement and governance. Practices must gain more experience and see more examples of the benefits of engaging patients, and they may need more incentives and support for engaging them.
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U2 - 10.1377/hlthaff.2012.1183
DO - 10.1377/hlthaff.2012.1183
M3 - Article
C2 - 23381530
AN - SCOPUS:84874767155
SN - 0278-2715
VL - 32
SP - 368
EP - 375
JO - Health Affairs
JF - Health Affairs
IS - 2
ER -