ArticleJournal of general internal medicine2014
Delivering PACT-principled care: are specialty care patients being left behind?
Article in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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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
14 citing papers in PubMed, 30 citations in OpenAlex.
- Exploring HIV provider framings of living and aging with HIV.SSM. Qualitative research in health · 2025Article
- Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocol.BMC health services research · 2024Article
- Cardiology Encounters for Underrepresented Racial and Ethnic Groups with Human Immunodeficiency Virus and Borderline Cardiovascular Disease Risk.Journal of racial and ethnic health disparities · 2024Article
- Structural Barriers to Well-grounded Advance Care Planning for the Seriously Ill: a Qualitative Study of Clinicians' and Administrators' Experiences During a Pragmatic Trial.Journal of general internal medicine · 2023Article
- BUILDING A COMMUNITY OF ANTHROPOLOGICAL PRACTICE: THE CASE OF ANTHROPOLOGISTS WORKING WITHIN THE UNITED STATES' LARGEST HEALTH CARE SYSTEM.Human organization · 2023Article
- WVSUD-PACT: a Primary-Care-Based Substance Use Disorder Team for Women Veterans.Journal of general internal medicine · 2022Article
- Core Functions and Forms of Complex Health Interventions: a Patient-Centered Medical Home Illustration.Journal of general internal medicine · 2019Review
- Coordinating Care Across VA Providers and Settings: Policy and Research Recommendations from VA's State of the Art Conference.Journal of general internal medicine · 2019Article
- Rethinking endometriosis care: applying the chronic care model via a multidisciplinary program for the care of women with endometriosis.International journal of women's health · 2019Article
- Patient Centeredness in Electronic Communication: Evaluation of Patient-to-Health Care Team Secure Messaging.Journal of medical Internet research · 2018Article
- The organizational attributes of HIV care delivery models in Canada: A cross-sectional study.PloS one · 2018Article
- Should Human Immunodeficiency Virus Specialty Clinics Treat Patients With Hypertension or Refer to Primary Care? An Analysis of Treatment Outcomes.Open forum infectious diseases · 2017Article
- Engagement Along the HIV Care Continuum and the Potential Role f Mental Health and Substance Use Disorders.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2015Article
- Challenges with Implementing a Patient-Centered Medical Home Model for Women Veterans.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the reorganization of primary care into Patient Aligned Care Teams (PACT) teams, the Veteran Affairs Health System (VA) aims to ensure all patients receive care based on patient-centered medical home (PCMH) principles. However, some patients receive the preponderance of care from specialty rather than primary care clinics because of the special nature of their clinical conditions. We examined seven VA (HIV) clinics as a model to test the extent to which such patients receive PCMH-principled care.
objectiveTo examine the extent to which HIV specialty care in VA conforms to PCMH principles.
designQualitative study.
participantsForty-one HIV providers from seven HIV clinics and 20 patients from four of these clinics. APPROACH: We conducted semi-structured interviews with HIV clinic providers and patients about care practices and adherence to PCMH principles. Using an iterative approach, data was analyzed using both a content analysis and an a priori, PCMH-principled coding strategy. KEY
resultsPatients with HIV receive varying levels of PCMH-principled care across a range of VA HIV clinic structures. The more PCMH-principled HIV clinics largely functioned as PCMHs; patients received integrated, coordinated, comprehensive primary care within a dedicated HIV clinic. In contrast, some clinics were unable to meet the criteria of being a patient's medical home, and instead functioned primarily as a place to receive HIV-related services with limited care coordination. Patients from the less PCMH-principled clinics reported less satisfaction with their care.
conclusionsEven in a large, integrated healthcare system, there is wide variation in patients' receipt of PCMH-principled care in specialty care settings. In order to meet the goal of having all patients receiving PCMH-principled care, there needs to be careful consideration of where primary and specialty care services are delivered and coordinated. The best mechanisms for ensuring that patients with complex medical conditions receive PCMH-principled care may need to be tailored to different specialty care contexts.
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