Veteran Patient Perspectives and Experiences During Implementation of a Patient-Centered Medical Home Model

Anaïs Tuepker; Summer Newell; Christina Nicolaidis; Marie-Elena Reyes; Maria Carolina González-Prats; Eleni Skaperdas; Devan Kansagara

doi:10.1177/2374373517731602

Veteran Patient Perspectives and Experiences During Implementation of a Patient-Centered Medical Home Model

J Patient Exp. 2018 Jun;5(2):107-113. doi: 10.1177/2374373517731602. Epub 2017 Oct 6.

Authors

Anaïs Tuepker^{1

2}, Summer Newell^{1

3}, Christina Nicolaidis^{2

4

5}, Marie-Elena Reyes⁴, Maria Carolina González-Prats⁴, Eleni Skaperdas⁶, Devan Kansagara^{1

2}

Affiliations

¹ VA Portland Health Care System, Portland, OR, USA.
² Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR, USA.
³ Department of Sociology, Portland State University, Portland, OR, USA.
⁴ School of Social Work, Portland State University, Portland, OR, USA.
⁵ School of Public Health, Oregon Health & Science University and Portland State University, Portland, OR, USA.
⁶ Department of Sociology, University of California, Los Angeles, CA, USA.

Abstract

Background: The Veterans Health Administration (VA) has implemented the largest shift to a patient-centered medical home (PCMH) model of care in the United States to date.

Objective: We interviewed veterans about their experiences of primary care to understand whether they observed changes in care during this period as well as to learn which characteristics of care mattered most to their experiences.

Method: Qualitative interviews were conducted with 32 veterans receiving primary care at 1 of 8 VA clinics in the northwest United States. Interviews were analyzed using an inductive-deductive hybrid approach by an interdisciplinary team that included a veteran patient.

Result: Participants noticed recent positive changes, including improved communications and shorter waits in clinic, but rarely were aware of VA's PCMH initiative; a strong relationship with the primary care provider and feeling cared for/respected by everyone involved in care delivery were key components of quality care. The needs of the veteran community as a whole also shaped discussion of care expectations.

Conclusion: The PCMH model may provide benefits even when invisible to patients. Veteran awareness of population needs suggests a promising role for veteran involvement in further PCMH transformation efforts.

Keywords: clinician–patient relationship; patient expectations; patient perspective /narratives; qualitative methods; relationship in health care; team communication; trust wait times.