Correlates of Patient-Centered Medical Home Recognition in School-Based Health Centers

2018 ◽  
Vol 88 (11) ◽  
pp. 830-838 ◽  
Author(s):  
Abbey Gregg ◽  
Li-Wu Chen ◽  
Jungyoon Kim
Keyword(s):  
Medical Home ◽  
Health Centers ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
School Based ◽  
School Based Health Centers

Patient-Centered Medical Home Measurement in School-Based Health Centers

2017 ◽  
Vol 35 (3) ◽  
pp. 189-202
Author(s):  
Abbey Gregg ◽  
Li-Wu Chen ◽  
Jungyoon Kim ◽  
Hyo Jung Tak ◽  
Melissa Tibbits
Keyword(s):  
Medical Home ◽  
Care Quality ◽  
Health Centers ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Four Dimensions ◽  
Medical Homes ◽  
School Based ◽  
Individual Index ◽  
School Based Health Centers

School-based health centers (SBHCs) have been suggested as potential medical homes, yet minimal attention has been paid to measuring their patient-centered medical home (PCMH) implementation. The purposes of this article were to (1) develop an index to measure PCMH attributes in SBHCs, (2) use the SBHC PCMH Index to compare PCMH capacity between PCMH certified and non-PCMH SBHCs, and (3) examine differences in index scores between SBHCs based in schools with and without adolescents. A total of six PCMH dimensions in the SBHC PCMH Index were identified through factor analysis. These dimensions were collapsed into two domains: care quality and comprehensive care. SBHCs recognized as PCMHs had higher scores on the index, both domains, and four dimensions. SBHCs based in schools with just young children and those with adolescents scored similarly on the overall index, but analysis of individual index items shows their strengths and weaknesses in PCMH implementation.

scholarly journals Assessing the Impact of Patient-Centered Medical Home Principles on Hypertension Outcomes Among Patients of HRSA-Funded Health Centers

2018 ◽  
Vol 32 (4) ◽  
pp. 418-425 ◽  
Author(s):  
Nadereh Pourat ◽  
Xiao Chen ◽  
Christopher Lee ◽  
Weihao Zhou ◽  
Marlon Daniel ◽  
...  
Keyword(s):  
Medical Home ◽  
Health Centers ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
The Impact

scholarly journals A Mobile Health Contraception Decision Support Intervention for Latina Adolescents: Implementation Evaluation for Use in School-Based Health Centers (Preprint)

2018 ◽  
Author(s):  
Kathleen P Tebb ◽  
Sang Leng Trieu ◽  
Rosario Rico ◽  
Robert Renteria ◽  
Felicia Rodriguez ◽  
...  
Keyword(s):  
Sexual Health ◽  
Health Information ◽  
Health Centers ◽  
Clinical Settings ◽  
Patient Centered ◽  
Latina Adolescents ◽  
Sexual Health Information ◽  
School Based ◽  
Facilitators And Barriers ◽  
School Based Health Centers

BACKGROUND Health care providers are a trusted and accurate source of sexual health information for most adolescents, and clinical guidelines recommend that all youth receive comprehensive, confidential sexual health information and services. However, these guidelines are followed inconsistently. Providers often lack the time, comfort, and skills to provide patient-centered comprehensive contraceptive counseling and services. There are significant disparities in the provision of sexual health services for Latino adolescents, which contribute to disproportionately higher rates of teenage pregnancy. To address this, we developed Health-E You or Salud iTu in Spanish, an evidence-informed mobile health (mHealth) app, to provide interactive, individually tailored sexual health information and contraception decision support for English and Spanish speakers. It is designed to be used in conjunction with a clinical encounter to increase access to patient-centered contraceptive information and services for adolescents at risk of pregnancy. Based on user input, the app provides tailored contraceptive recommendations and asks the youth to indicate what methods they are most interested in. This information is shared with the provider before the in-person visit. The app is designed to prepare youth for the visit and acts as a clinician extender to support the delivery of health education and enhance the quality of patient-centered sexual health care. Despite the promise of this app, there is limited research on the integration of such interventions into clinical practice. OBJECTIVE This study described efforts used to support the successful adoption and implementation of the Health-E You app in clinical settings and described facilitators and barriers encountered to inform future efforts aimed at integrating mHealth interventions into clinical settings. METHODS This study was part of a larger, cluster randomized control trial to evaluate the effectiveness of Health-E You on its ability to reduce health disparities in contraceptive knowledge, access to contraceptive services, and unintended pregnancies among sexually active Latina adolescents at 18 school-based health centers (SBHCs) across Los Angeles County, California. App development and implementation were informed by the theory of diffusion of innovation, the Patient-Centered Outcomes Research Institute’s principles of engagement, and iterative pilot testing with adolescents and clinicians. Implementation facilitators and barriers were identified through monthly conference calls, site visits, and quarterly in-person collaborative meetings. RESULTS Implementation approaches enhanced the development, adoption, and integration of Health-E You into SBHCs. Implementation challenges were also identified to improve the integration of mHealth interventions into clinical settings. CONCLUSIONS This study provides important insights that can inform and improve the implementation efforts for future mHealth interventions. In particular, an implementation approach founded in a strong theoretical framework and active engagement with patient and community partners can enhance the development, adoption, and integration of mHealth technologies into clinical practice. CLINICALTRIAL ClinicalTrials.gov NCT02847858; https://clinicaltrials.gov/ct2/show/NCT02847858 (Archived by WebCite at http://www.webcitation.org/761yVIRTp).

School-Based Health Centers as Patient-Centered Medical Homes

PEDIATRICS ◽  
2014 ◽  
Vol 134 (5) ◽  
pp. 957-964 ◽  
Author(s):  
S. T. O'Leary ◽  
M. Lee ◽  
S. Federico ◽  
J. Barnard ◽  
S. Lockhart ◽  
...  
Keyword(s):  
Health Centers ◽  
Patient Centered ◽  
Patient Centered Medical Homes ◽  
Medical Homes ◽  
School Based ◽  
School Based Health Centers

scholarly journals Patient-centered Medical Home Capability and Clinical Performance in HRSA-supported Health Centers

Medical Care ◽  
2015 ◽  
Vol 53 (5) ◽  
pp. 389-395 ◽  
Author(s):  
Leiyu Shi ◽  
Diana C. Lock ◽  
De-Chih Lee ◽  
Lydie A. Lebrun-Harris ◽  
Marshall H. Chin ◽  
...  
Keyword(s):  
Medical Home ◽  
Clinical Performance ◽  
Health Centers ◽  
Patient Centered Medical Home ◽  
Patient Centered
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