期刊
MEDICAL CARE RESEARCH AND REVIEW
卷 66, 期 6, 页码 703-724出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1077558709338486
关键词
patient-centered care; health care quality; health care access; health care evaluation; patient access to records; e-mail
资金
- Robert Wood Johnson Foundation [52229]
The Institute of Medicine suggests redesigning health care to ensure safe, effective, timely, efficient, equitable, and patient-centered care. The concept of patient-centered access supports these goals. Group Health, a mixed-model health care system, attempted to improve patients' access to care through the following changes: (a) offering a patient Web site with patient access to patient-physician secure e-mail, electronic medical records, and health promotion information; (b) offering advanced access to primary physicians; (c) redesigning primary care services to enhance care efficiency; (d) offering direct access to physician specialists; and (e) aligning primary physician compensation through incentives for patient satisfaction, productivity, and secure messaging with patients. In the 2 years following the redesign, patients reported higher satisfaction with certain aspects of access to care, providers reported improvements in the quality of service given to patients, and enrollment in Group Health stayed aligned with statewide trends in health care coverage.
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