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Factors Associated With Patient-Centered Medical Home Teams' Use of Resources for Identifying and Approaches for
Susan E Stockdale1, Danielle E Rose, Michael McClean
1HSR&D Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California (Drs Stockdale, Rose, and Chang and Mr McClean); Department of Psychiatry and Biobehavioral Sciences (Dr Stockdale), and Department of Medicine, David Geffen School of Medicine (Dr Chang), University of California, Los Angeles; Center for Health Equity Research and Promotion, VA Pittsburgh, Pittsburgh, Pennsylvania (Dr Rosland); Department of Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Rosland); Division of General Internal Medicine, Department of Medicine, VA Greater Los Angeles, Los Angeles, California (Dr Chang); Center for Innovation to Implementation, VA Palo Alto Healthcare System, Menlo Park, California (Dr Zulman); Department of Medicine, Stanford University, Stanford, California (Dr Zulman); Department of Management, University of Iowa, Iowa City (Dr Stewart); HSR&D Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington (Dr Nelson); and Division of General Internal Medicine, University of Washington, Seattle (Dr Nelson).
Abstract:
Using data from a Veterans Health Administration national primary care survey, this study identified the most highly rated tools and care approaches for patients with complex needs and how preferences varied by professional role, staffing, and training. Nurses were significantly more likely to rate most tools as very important as compared with primary care providers. Having a fully staffed team was also significantly associated with a very important rating on all tools. Nurses and fully staffed teams reported a greater likeliness to use most care approaches, and those with perceived need for training reporting a lower likeliness to use.
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