The medical home transformation in the Veterans Health Administration: an evaluation of early changes in primary care delivery.

ABSTRACT:

Objective

To evaluate the effect of medical home implementation on primary care delivery in the Veterans Health Administration (VHA).

Data sources/study setting/study design

We link interview-based qualitative data on medical home implementation to quantitative outcomes from VHA clinical encounter data. We use a longitudinal analysis with provider fixed effects (taking advantage of variation in timing of implementation and allowing each provider to serve as a control for him or herself) to test whether patient-aligned care team (PACT) implementation was associated with changes in organizational processes and patient outcomes.

Principal findings

Among 683 PCPs, caring for 321,295 patients, the uptake of eight of nine PACT structural changes significantly increased from

SUBMITTER: Werner RM 

PROVIDER: S-EPMC4239852 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature