Experiences of Patient-Centered Medical Home Staff Team Members Working in Interprofessional Training Environments
Summer NewellBridget C. O’BrienRebecca BrienzaMaya DulayAnna StrewlerJennifer K. ManuelAnaïs Tuepker
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This study describes how 4 primary care practices deliver components of the patient-centered medical home (PCMH) model. Interviews with administrators and clinicians were conducted and analyzed. All practices had achieved National Committee for Quality Assurance Level 3 Medical Home Accreditation. Yet, the manner in which some of the core PCMH components were delivered varied across sites. For example, information technology is used in different ways and to different degrees although the same electronic medical record is employed in all settings. Evaluations of the PCMH model must account for differences in approach to truly assess its effectiveness.
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The concept of Patient-Centered Medical Home (PCMH) originated with the specialty of pediatrics to provide care to children with complex illness. Similar concepts were uncovered when researchers looked at high quality yet low cost health systems. PCMH concepts have been adopted by primary care professional organizations and are being supported by multiple other organizations. The implementation of PCMH practices by individual physician groups is accelerating with new payment models and other key drivers.
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The Patient-Centered Medical Home (PCMH) is a new care model that reorganizes primary care to improve access, coordination, quality, satisfaction, and comprehensive patient-centered care. Nurse practitioners should understand the PCMH concept, appraise the evidence, and become leaders in this transformation.
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In early June, the Academy launched a new area on its Web site. The patient-centered medical home, or PCMH, section of the Web site, was created by the Academy to make family physicians’ transition to the medical home as smooth as possible. The PCMH section offers a varied assortment of tools to
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self-medication involves the use of medicines without the input of health professionals. Available studies are not entirely conclusive on self-medication among health science versus non-health science university students. The current study therefore sought to investigate relevant aspects of self-medication among pharmacy and non-pharmacy students.this quantitative cross-sectional research was conducted among undergraduate pharmacy and non-pharmacy students of the University of Ghana from October 1st 2019 to December 6th 2019. Using a questionnaire, interviews were conducted to assess the pattern and attitude towards self-medication among respondents within the last 2 months.a total of 337 (163 pharmacy and 174 non-pharmacy) students filled and completed questionnaires. The prevalence of self-medication was 55.2% for pharmacy and 51.1% for non-pharmacy students. Both pharmacy and non-pharmacy students were either accepting or ambivalent towards self-medication. Painkillers were the major class of medications that were self-medicated by both pharmacy (38.5%) and non-pharmacy students (30.7%). The most common reason for self-medication among pharmacy (62.2%) and non-pharmacy (56.2%) students was the need for rapid relief from an illness. Majority of the participants who were self-medicated (27.6% among non-pharmacy and 36.8% among pharmacy students) demonstrated ambivalent attitude towards self-medication. An increase in the study level reduced the likelihood of self-medication in both pharmacy and non-pharmacy students: OR=0.442, CI = 0.266-0.736 for pharmacy students and OR=0.671, CI = 0.456-0.987 for non-pharmacy students.self-medication is common students of the University of Ghana. Prevalence of self-medication was higher among pharmacy students than non-pharmacy students. This study provides data for targeted education and sensitisation of self-medication among university students.
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The Patient-Centered Medical Home (PCMH) has various titles including, but not limited to, "medical home model," "medical home," "person-centered medical home," and "health home" [1]. For simplicity, PCMH will be used and understood to represent all titles throughout this chapter.
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