Affiliation:
1. Center for Health Studies, Seattle, Washington,
2. University of Washington, Seattle
3. Center for Health Studies, Seattle, Washington
Abstract
The Institute of Medicine suggests redesigning health care to ensure safe, effective, timely, efficient, equitable, and patient-centered care. The concept of patient-centered access supports these goals. Group Health, a mixed-model health care system, attempted to improve patients’ access to care through the following changes: (a) offering a patient Web site with patient access to patient—physician secure e-mail, electronic medical records, and health promotion information; (b) offering advanced access to primary physicians; (c) redesigning primary care services to enhance care efficiency; (d) offering direct access to physician specialists; and (e) aligning primary physician compensation through incentives for patient satisfaction, productivity, and secure messaging with patients. In the 2 years following the redesign, patients reported higher satisfaction with certain aspects of access to care, providers reported improvements in the quality of service given to patients, and enrollment in Group Health stayed aligned with statewide trends in health care coverage.
Reference53 articles.
1. A House Is Not A Home: Keeping Patients At The Center Of Practice Redesign
2. Innovations in Access to Care: A Patient-Centered Approach
3. Improving Primary Care for Patients With Chronic Illness
4. Charmel, P. ( 2003). Building the business case for patient-centered care . In S. Frampton, L. Gilpin, & P. Charmel (Eds.), Putting patients first: Designing and practicing patient-centered care (pp. 193-204). San Francisco: Jossey-Bass.
Cited by
47 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献