Table 2.
Percent of VHA Homeless Primary Care Patients who Reported Positive, Moderate, and Negative Primary Care Experiences, by H-PACT Enrollment Groups
| Facility with H-PACT | ||||||||
|---|---|---|---|---|---|---|---|---|
| Enrolled in H-PACT (n=251) |
Enrolled in standard PC (n=1,527) |
Standard PC in facility without H-PACT (n=10,079) |
||||||
| Domain | % | SE | % | SE | % | SE | X2 | p-value |
| Access | 4.41 | .002 | ||||||
| Positive | 55.7 | 4.5 | 35.0 | 1.8 | 34.7 | 0.8 | ||
| Moderate | 37.9 | 4.3 | 51.4 | 1.9 | 51.1 | 0.8 | ||
| Negative | 6.4 | 2.7 | 13.6 | 1.5 | 14.3 | 0.6 | ||
| Communication | ||||||||
| Positive | 75.1 | 3.9 | 58.2 | 1.8 | 52.0 | 0.8 | 7.93 | <.001 |
| Moderate | 19.2 | 3.4 | 25.6 | 1.5 | 27.9 | 0.7 | ||
| Negative | 5.7 | 2.4 | 16.2 | 1.5 | 20.1 | 0.6 | ||
| Office staff helpfulness/courtesy | 2.93 | .02 | ||||||
| Positive | 66.8 | 4.2 | 50.8 | 1.8 | 53.8 | 0.8 | ||
| Moderate | 20.9 | 3.6 | 33.1 | 1.7 | 29.7 | 0.7 | ||
| Negative | 12.3 | 3.1 | 16.1 | 1.3 | 16.5 | 0.7 | ||
| Provider rating | 8.01 | <.001 | ||||||
| Positive | 65.1 | 4.2 | 50.4 | 1.8 | 43.3 | 0.8 | ||
| Moderate | 29.8 | 3.9 | 35.5 | 1.7 | 39.4 | 0.8 | ||
| Negative | 5.1 | 2.4 | 14.1 | 1.4 | 17.3 | 0.6 | ||
| Comprehensiveness | 3.28 | .01 | ||||||
| Positive | 65.6 | 4.0 | 54.0 | 1.8 | 52.0 | 0.8 | ||
| Moderate | 24.4 | 3.7 | 28.9 | 1.7 | 28.6 | 0.7 | ||
| Negative | 10.0 | 2.2 | 17.0 | 1.3 | 19.5 | 0.6 | ||
| Coordination | 3.07 | .02 | ||||||
| Positive | 67.9 | 5.3 | 56.9 | 2.1 | 52.2 | 0.9 | ||
| Moderate | 28.3 | 4.9 | 34.0 | 2.0 | 35.0 | 0.9 | ||
| Negative | 3.7 | 3.2 | 9.1 | 1.4 | 12.9 | 0.7 | ||
| Self-management support | 7.40 | <.001 | ||||||
| Positive | 64.8 | 4.2 | 52.8 | 1.8 | 46.3 | 0.8 | ||
| Moderate | 22.1 | 3.7 | 21.2 | 1.4 | 23.8 | 0.7 | ||
| Negative | 13.0 | 3.0 | 25.5 | 1.6 | 29.9 | 0.7 | ||
| Shared decision-making | 6.53 | <.001 | ||||||
| Positive | 53.6 | 5.2 | 41.5 | 2.1 | 36.9 | 0.9 | ||
| Moderate | 39.6 | 5.1 | 47.1 | 2.1 | 44.7 | 1.0 | ||
| Negative | 6.8 | 3.2 | 11.5 | 1.3 | 18.4 | 0.8 | ||
Abbreviations: H-PACT = Homeless Patient Aligned Care Team; PC = primary care; VHA = Veterans Health Administration.
Domains were drawn from the 2014-2015 Patient-Centered Medical Home Survey of Healthcare Experiences of Patients (PCMH-SHEP). Positive experiences include optimal experiences (e.g., provider “Always” listens); while the negative experience include suboptimal experiences (e.g., provider “Never” or only “Sometimes” listens).