Table 1.
PCMH Model and Attribute Definitions
PCMH Attribute | PCMH Characteristica | Allowable Responses |
---|---|---|
Received comprehensive care | USC usually asked about medications and treatments prescribed by other doctors [26, 27, 29] | Yes |
USC provided care for new health problems [26–28] | Yes | |
USC provided preventive healthcare [26–28] | Yes | |
USC provided referrals to other health professionals [26–28] | Yes | |
USC provided care for ongoing health problems [26, 27] | Yes | |
Participant received comprehensive care [26] | Yes to all five questions | |
Received patient-centered care | USC showed respect for the medical, traditional, and alternative treatments with which participant is happy [26] | Usually, always |
USC asked participant to help decide treatment when there was a choice of treatments [26–29] | Usually, always | |
USC presented and explained all healthcare options to participant [26] | Yes | |
Participant received patient-centered care [26] | Usually, always, or yes to all three questions | |
Received accessible care | It was not difficult to get to USC’s location | Not too difficult, not at all difficult |
It was not difficult to contact USC over the phone about a health problem during regular office hours [26, 27, 29] | Not too difficult, not at all difficult | |
USC offered night and weekend office hours [26–29] | Yes | |
USC spoke the participant’s preferred language or provided translation services [26] | Yes | |
Participant received accessible care | Not too difficult, not at all difficult, or yes to all four questions | |
Received care consistent with the PCMH | Participant had a USC other than an ER that provided comprehensive, patient-centered, and accessible care [26, 28, 29] | Allowable responses for all attributes |
a Prior research that informed the selection of MEPS variables is cited as appropriate, but there were some coding and other differences between this study and how the cited studies assessed PCMH characteristics. Additional methodological details are available from the authors upon request