How Are Patients Accessing Primary Care Within the Patient-Centered Medical Home? Results From the Veterans Health Administration.

Augustine MR, Nelson KM, Fihn SD, Wong ES. How Are Patients Accessing Primary Care Within the Patient-Centered Medical Home? Results From the Veterans Health Administration. The Journal of ambulatory care management. 2018 Jul 1; 41(3):194-203.

Related HSR&D Project(s)

• CDA 13-024 – Economic Impact of Dual Use and Patient Choice in Primary Care

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information vaww.hsrd.research.va.gov/dimensions/

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.    Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions

Search for Abstract from PubMed

---

Abstract:

The patient-centered medical home (PCMH) expands access by providing care same-day, by phone, and after hours; however, little is known about which patients seek these services. We examined the association of patient, clinical, and local economic characteristics with the self-reported use of 5 routine and nonroutine ways to access primary care within the Veterans Health Administration. We identified sets of characteristics, including gender- and age-specific, racial and ethnic, and socioeconomic differences of how veterans report seeking primary care. As the PCMH model develops, it will be important to further understand the differential demand for these services to optimize patient-centered access.