Family physicians' ability to perform population management is associated with adoption of other aspects of the patient-centered medical home

Jessica Ottmar, Brenna Blackburn, Robert L. Phillips, Lars E. Peterson, Carlos R Jaen

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The patient-centered medical home (PCMH) model is considered a promising approach to improving population health, but how elements of these advanced practice models relate to population health capability is unknown. To measure associations between family physicians' performance of population management with PCMH components, a cross-sectional survey was conducted with physicians accessing the American Board of Family Medicine Web site in 2011. Bivariate analysis and logistic regression tested associations between physician and practice demographics and specific PCMH features. The primary outcome was performance of population management. The final sample included 3855 physicians, 37.3% of whom reported performing population management. Demographic characteristics significantly associated with greater use of population management were female sex and graduation from an international medical school. PCMH components that remained associated with population management after adjustment were access to clinical case managers (odds ratio [OR]=2.01, 95% confidence interval [95% CI]: 1.69, 2.39), behavioral health collaboration (OR=1.49, 95% CI: 1.26, 1.77), having an electronic health record that supports meaningful use (OR=1.47, 95% CI: 1.25, 1.74), recent participation in a quality improvement project (OR=2.47, 95% CI: 2.12, 2.89), and routine measurement of patient difficulty securing an appointment (OR=2.87, 95% CI: 2.45, 3.37). Performance of population management was associated with several PCMH elements and resources not present in traditional primary care offices. Attention to these elements likely will enhance delivery of population management services in primary care. (Population Health Management 2015;18:72-78)..

Original languageEnglish (US)
Pages (from-to)72-78
Number of pages7
JournalPopulation Health Management
Volume18
Issue number2
DOIs
StatePublished - Apr 1 2015

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Patient-Centered Care
Aptitude
Family Physicians
Population
Odds Ratio
Confidence Intervals
Health
Physicians
Primary Health Care
Demography
Social Adjustment
Electronic Health Records
Quality Improvement
Medical Schools
Appointments and Schedules
Cross-Sectional Studies
Logistic Models
Medicine

ASJC Scopus subject areas

  • Health Policy
  • Leadership and Management
  • Public Health, Environmental and Occupational Health

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Family physicians' ability to perform population management is associated with adoption of other aspects of the patient-centered medical home. / Ottmar, Jessica; Blackburn, Brenna; Phillips, Robert L.; Peterson, Lars E.; Jaen, Carlos R.

In: Population Health Management, Vol. 18, No. 2, 01.04.2015, p. 72-78.

Research output: Contribution to journalArticle

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