Evidence map›Paper›PMID 29978026›Full record

ArticleJournal of patient experience2018

Veteran Patient Perspectives and Experiences During Implementation of a Patient-Centered Medical Home Model.

Anaïs Tuepker, Summer Newell, Christina Nicolaidis, Marie-Elena Reyes, Maria Carolina González-Prats, Eleni Skaperdas, Devan Kansagara

Open access · diamondAbstract read
In one paragraph

Article in Journal of patient experience, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Anaïs TuepkerVA Portland Health Care System, Portland, OR, USA.
Summer NewellVA Portland Health Care System, Portland, OR, USA.ORCID 0000-0001-7876-5693
Christina NicolaidisDivision of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR, USA.
Marie-Elena ReyesSchool of Social Work, Portland State University, Portland, OR, USA.
Maria Carolina González-PratsSchool of Social Work, Portland State University, Portland, OR, USA.
Eleni SkaperdasDepartment of Sociology, University of California, Los Angeles, CA, USA.
Devan KansagaraVA Portland Health Care System, Portland, OR, USA.
Portland State University · USOregon Health & Science University · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Veterans Health Administration (VA) has implemented the largest shift to a patient-centered medical home (PCMH) model of care in the United States to date.

objectiveWe interviewed veterans about their experiences of primary care to understand whether they observed changes in care during this period as well as to learn which characteristics of care mattered most to their experiences.

methodQualitative interviews were conducted with 32 veterans receiving primary care at 1 of 8 VA clinics in the northwest United States. Interviews were analyzed using an inductive-deductive hybrid approach by an interdisciplinary team that included a veteran patient.

resultParticipants noticed recent positive changes, including improved communications and shorter waits in clinic, but rarely were aware of VA's PCMH initiative; a strong relationship with the primary care provider and feeling cared for/respected by everyone involved in care delivery were key components of quality care. The needs of the veteran community as a whole also shaped discussion of care expectations.

conclusionThe PCMH model may provide benefits even when invisible to patients. Veteran awareness of population needs suggests a promising role for veteran involvement in further PCMH transformation efforts.

Indexed as

clinician–patient relationshippatient expectationspatient perspective /narrativesqualitative methodsrelationship in health careteam communicationtrust wait times

Identifiers

PMID29978026
PMCPMC6022940
OpenAlexW2762949336

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.