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To study of the efforts of four Veterans Affairs (VA) medical centers to engage patients and families in patient-centered care (PCC) transformation.Interviews with 107 providers/employees involved in implementation of PCC innovations. Coding used a mixed inductive-deductive approach.Patient and family engagement was considered to be a key element of the design and implementation of PCC innovations...
Interprofessional team-based models of primary care that expand the role of clinical associates (CAs) are increasingly adopted in primary care practices. In this study we query team members of a newly implemented patient centered medical home (PCMH) to identify facilitators and barriers of occupational role self-efficacy, a belief of possessing the capacity to execute their new team based role effectively...
Improving access to the Veterans Health Administration (VHA) is a high priority, particularly given statutory mandates of the Veterans Access, Choice and Accountability Act. This study examined whether patient-reported wait times for VHA appointments were associated with future reliance on VHA primary care services.This observational study examined 13,595 VHA patients dually enrolled in fee-for-service...
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