Cargando…

How Preferences for Continuity and Access Differ Between Multimorbidity and Healthy Patients in a Team Care Setting

Introduction: Team-based care has become an essential part of modern medical practice. Patient-centered medical homes often struggle to balance the dual competing goals of acute access and continuity of care. Multimorbidity patients may value continuity more than healthy patients, and thus may prefe...

Descripción completa

Detalles Bibliográficos
Autores principales: Ehman, Katherine M., Deyo-Svendsen, Mark, Merten, Zachary, Kramlinger, Anne Marie, Garrison, Gregory M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932726/
https://www.ncbi.nlm.nih.gov/pubmed/28434390
http://dx.doi.org/10.1177/2150131917704556
_version_ 1783319855769845760
author Ehman, Katherine M.
Deyo-Svendsen, Mark
Merten, Zachary
Kramlinger, Anne Marie
Garrison, Gregory M.
author_facet Ehman, Katherine M.
Deyo-Svendsen, Mark
Merten, Zachary
Kramlinger, Anne Marie
Garrison, Gregory M.
author_sort Ehman, Katherine M.
collection PubMed
description Introduction: Team-based care has become an essential part of modern medical practice. Patient-centered medical homes often struggle to balance the dual competing goals of acute access and continuity of care. Multimorbidity patients may value continuity more than healthy patients, and thus may prefer to wait to see their primary care physician (PCP). Methods: A total of 1700 randomly selected healthy adults and multimorbidity patients were asked to rate satisfaction with care and presented with 4 acute and 4 chronic scenarios to choose an access and continuity preference in an anonymous mailed survey. Results: In all, 770 responses were obtained. All respondents preferred to be seen 2.5 days sooner for acute appointments. Multimorbidity patients preferred to wait 0.28 days longer for acute issues to see their PCP. Patients who were not satisfied with their care team preferred to wait 0.75 days to see their PCP. Those not satisfied with their PCP choose to be seen 0.38 days sooner by their care team or any physician. Conclusions: All patients prefer continuity of care with their PCP for chronic disease management and value quick access to care for acute problems. For acute visits, multimorbidity patients prefer to wait longer to see their PCP than healthy adults. Satisfaction also plays an important role in patients’ willingness to wait for an appointment with their PCP.
format Online
Article
Text
id pubmed-5932726
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-59327262018-05-07 How Preferences for Continuity and Access Differ Between Multimorbidity and Healthy Patients in a Team Care Setting Ehman, Katherine M. Deyo-Svendsen, Mark Merten, Zachary Kramlinger, Anne Marie Garrison, Gregory M. J Prim Care Community Health Pilot Studies Introduction: Team-based care has become an essential part of modern medical practice. Patient-centered medical homes often struggle to balance the dual competing goals of acute access and continuity of care. Multimorbidity patients may value continuity more than healthy patients, and thus may prefer to wait to see their primary care physician (PCP). Methods: A total of 1700 randomly selected healthy adults and multimorbidity patients were asked to rate satisfaction with care and presented with 4 acute and 4 chronic scenarios to choose an access and continuity preference in an anonymous mailed survey. Results: In all, 770 responses were obtained. All respondents preferred to be seen 2.5 days sooner for acute appointments. Multimorbidity patients preferred to wait 0.28 days longer for acute issues to see their PCP. Patients who were not satisfied with their care team preferred to wait 0.75 days to see their PCP. Those not satisfied with their PCP choose to be seen 0.38 days sooner by their care team or any physician. Conclusions: All patients prefer continuity of care with their PCP for chronic disease management and value quick access to care for acute problems. For acute visits, multimorbidity patients prefer to wait longer to see their PCP than healthy adults. Satisfaction also plays an important role in patients’ willingness to wait for an appointment with their PCP. SAGE Publications 2017-04-22 2017-10 /pmc/articles/PMC5932726/ /pubmed/28434390 http://dx.doi.org/10.1177/2150131917704556 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Pilot Studies
Ehman, Katherine M.
Deyo-Svendsen, Mark
Merten, Zachary
Kramlinger, Anne Marie
Garrison, Gregory M.
How Preferences for Continuity and Access Differ Between Multimorbidity and Healthy Patients in a Team Care Setting
title How Preferences for Continuity and Access Differ Between Multimorbidity and Healthy Patients in a Team Care Setting
title_full How Preferences for Continuity and Access Differ Between Multimorbidity and Healthy Patients in a Team Care Setting
title_fullStr How Preferences for Continuity and Access Differ Between Multimorbidity and Healthy Patients in a Team Care Setting
title_full_unstemmed How Preferences for Continuity and Access Differ Between Multimorbidity and Healthy Patients in a Team Care Setting
title_short How Preferences for Continuity and Access Differ Between Multimorbidity and Healthy Patients in a Team Care Setting
title_sort how preferences for continuity and access differ between multimorbidity and healthy patients in a team care setting
topic Pilot Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932726/
https://www.ncbi.nlm.nih.gov/pubmed/28434390
http://dx.doi.org/10.1177/2150131917704556
work_keys_str_mv AT ehmankatherinem howpreferencesforcontinuityandaccessdifferbetweenmultimorbidityandhealthypatientsinateamcaresetting
AT deyosvendsenmark howpreferencesforcontinuityandaccessdifferbetweenmultimorbidityandhealthypatientsinateamcaresetting
AT mertenzachary howpreferencesforcontinuityandaccessdifferbetweenmultimorbidityandhealthypatientsinateamcaresetting
AT kramlingerannemarie howpreferencesforcontinuityandaccessdifferbetweenmultimorbidityandhealthypatientsinateamcaresetting
AT garrisongregorym howpreferencesforcontinuityandaccessdifferbetweenmultimorbidityandhealthypatientsinateamcaresetting