Abstract
Structures (context of care delivery) and processes (actions aimed at delivery care) are posited to drive patient outcomes. Despite decades of primary care research, there remains a lack of evidence connecting specific structures/processes to patient outcomes to determine which of the numerous recommended structures/processes to prioritize for implementation. The objective of this study was to identify structures/processes most commonly present in high-performing primary care practices for chronic care management and prevention. We conducted key informant interviews with a national sample of 22 high-performing primary care practices. We identified the 10 most commonly present structures/processes in these practices, which largely enable 2 core functions: mobilizing staff to conduct patient outreach and helping practices avoid gaps in care. Given the costs of implementing and maintaining numerous structures/processes, our study provides a starting list for providers to prioritize and for researchers to investigate further for specific effects on patient outcomes.
Original language | English (US) |
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Pages (from-to) | E639-E644 |
Journal | Journal of Public Health Management and Practice |
Volume | 28 |
Issue number | 2 |
DOIs | |
State | Published - Mar 1 2022 |
All Science Journal Classification (ASJC) codes
- Health Policy
- Public Health, Environmental and Occupational Health
Keywords
- Health services
- Practice-based research
- Primary care