Table 4.
Enrolled in H-PACT (n=251) |
Enrolled in standard primary care (n=1,527) |
Risk difference (RD) | ||
---|---|---|---|---|
Primary care domain | % | % | RD | 95% CI |
Access | 56.2 | 35.0 | 21.1*** | 11.2, 31.0 |
Communication | 71.8 | 58.7 | 13.1** | 4.5, 21.7 |
Office staff helpfulness/courtesy | 63.6 | 51.3 | 12.3** | 3.5, 21.0 |
Provider rating | 62.6 | 50.7 | 11.9* | 2.4, 21.4 |
Comprehensiveness | 62.0 | 54.5 | 7.5 | −1.6, 16.6 |
Care coordination | 65.8 | 57.2 | 8.6 | −2.9, 20.1 |
Self-management support | 60.3 | 53.4 | 6.9 | −2.7, 16.6 |
Shared decision-making | 51.8 | 41.7 | 10.2 | −2.0, 22.3 |
p<.05
p<.01
p<.001
Study sites included 25 VHA facilities with an H-PACT implemented by October 2013. % = Predicted probability of reporting positive healthcare experiences, calculated separately by primary care enrollment groups (H-PACT or standard primary care). Probabilities were estimated from logistic regression models predicting positive versus moderate/negative experiences with care. Models, run separately for each domain of care, controlled for patient sex, age, race/ethnicity, education, marital status, rural versus urban residence, period of service, physical and mental health ratings, clinical diagnoses, number of primary care visits, receipt of other VHA homeless services; and study site.