ArticleEthnicity & disease2013
Undergoing transformation to the patient centered medical home in safety net health centers: perspectives from the front lines.
Article in Ethnicity & disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 43 citations in OpenAlex.
- Engaging Community Networks to Improve Depression Services: A Cluster-Randomized Trial of a Community Engagement and Planning Intervention.Community mental health journal · 2021Trial
- Care coordination for complex cancer survivors in an integrated safety-net system: a study protocol.BMC cancer · 2018Trial
- The impact of integrating medical assistants and community health workers on diabetes care management in community health centers.BMC health services research · 2018Trial
- Provider Perspectives on a Tobacco-Free Workplace Program in Healthcare Settings Serving Rural and Medically Underserved Areas of Texas: A Mixed Methods Study on Perceived Resource Availability and Value.International journal of environmental research and public health · 2026Article
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- Multilevel influences on patient engagement and chronic care management.The American journal of managed care · 2023Article
- Patient and Staff Satisfaction and Experience While Transforming Health Center Systems.Risk management and healthcare policy · 2022Article
- Sustaining implementation facilitation: a model for facilitator resilience.Implementation science communications · 2021Article
- Organizational Factors Influencing the Early Implementation Process of Diabetes Group Visits by Five Midwestern Community Health Centers: A Multisite Case Study Analysis.Population health management · 2020Article
- Assessing fidelity to evidence-based quality improvement as an implementation strategy for patient-centered medical home transformation in the Veterans Health Administration.Implementation science : IS · 2020Article
- Development and Testing of the Provider and Staff Perceptions of Integrated Care (PSPIC) Survey.Medical care research and review : MCRR · 2019Article
- A Multi-sourced Data Analytics Approach to Measuring and Assessing Biopsychosocial Complexity: The Vancouver Community Analytics Tool Complexity Module (VCAT-CM).Community mental health journal · 2019Article
- Provider and Staff Morale, Job Satisfaction, and Burnout over a 4-Year Medical Home Intervention.Journal of general internal medicine · 2019Article
- Pathways to Medical Home Recognition: A Qualitative Comparative Analysis of the PCMH Transformation Process.Health services research · 2018Article
- Disparities in Diabetes Care Quality by English Language Preference in Community Health Centers.Health services research · 2018Article
- Developing Community-Based Primary Health Care for Complex and Vulnerable Populations in the Vancouver Coastal Health Region: HealthConnection Clinic.The Permanente journal · 2018Article
- Association Between Patient-Centered Medical Home Capabilities and Outcomes for Medicare Beneficiaries Seeking Care from Federally Qualified Health Centers.Journal of general internal medicine · 2017Article
- Developing High-Functioning Teams: Factors Associated With Operating as a "Real Team" and Implications for Patient-Centered Medical Home Development.Inquiry : a journal of medical care organization, provision and financing · 2017Article
- Lung cancer care: the impact of facilities and area measures.Translational lung cancer research · 2015Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 1 institution in 1 country.
Funding
Abstract
objectivesSafety net health centers (SNHCs), which include federally qualified health centers (FQHCs) provide primary care for underserved, minority and low income patients. SNHCs across the country are in the process of adopting the patient centered medical home (PCMH) model, based on promising early implementation data from demonstration projects. However, previous demonstration projects have not focused on the safety net and we know little about PCMH transformation in SNHCs.
designThis qualitative study characterizes early PCMH adoption experiences at SNHCs. SETTING AND
participantsWe interviewed 98 staff (administrators, providers, and clinical staff) at 20 of 65 SNHCs, from five states, who were participating in the first of a five-year PCMH collaborative, the Safety Net Medical Home Initiative. MAIN MEASURES: We conducted 30-45 minute, semi-structured telephone interviews. Interview questions addressed benefits anticipated, obstacles encountered, and lessons learned in transition to PCMH.
resultsAnticipated benefits for participating in the PCMH included improved staff satisfaction and patient care and outcomes. Obstacles included staff resistance and lack of financial support for PCMH functions. Lessons learned included involving a range of staff, anticipating resistance, and using data as frequent feedback.
conclusionsSNHCs encounter unique challenges to PCMH implementation, including staff turnover and providing care for patients with complex needs. Staff resistance and turnover may be ameliorated through improved health care delivery strategies associated with the PCMH. Creating predictable and continuous funding streams may be more fundamental challenges to PCMH transformation.
Indexed as
Identifiers
23914423PMC3740439W77392081What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.