• Online Features  This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (33)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Patient-Physician Communication  • Quality of Care  • Quality of Care, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

Results From a National Survey

Anne-Marie Audet, MD; Karen Davis, PhD; Stephen C. Schoenbaum, MD

Arch Intern Med. 2006;166:754-759.

Background  Little is known about the extent to which primary care physicians (PCPs) practice patient-centered care, 1 of the Institute of Medicine's 6 dimensions of quality. This article describes the adoption of patient-centered practice attributes by PCPs.

Methods  Mail survey; nationally representative physician sample of 1837 physicians in practice at least 3 years postresidency.

Results  Eighty-three percent of PCPs surveyed are in favor of sharing of medical records with patients. Most physicians (87%) support team-based care. But, only 16% of PCPs communicate with their patients via e-mail; only 36% get feedback from their patients. Seventy-four percent of PCPs still experience problems with availability of patients' medical records or test results; less than 50% have adopted patient reminder systems. Thirty-three percent of physicians practicing in groups of 50 or more have adopted 6 to 11 of the 11 patient-centered care practices targeted in the survey compared with 14% of solo physicians.

Conclusion  Although some patient-centered care practices have been adopted by most PCPs, other practices have not yet been adopted as broadly, especially those targeting coordination, team-based care, and support from appropriate information systems.

Author Affiliations: Quality Improvement Program, The Commonwealth Fund, New York, NY.

CiteULike    Connotea    Delicious    Digg    Facebook    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Measuring Patients' Perceptions of Patient-Centered Care: A Systematic Review of Tools for Family Medicine
Hudon et al.
Ann Fam Med 2011;9:155-164.
ABSTRACT | FULL TEXT  

Access and Coordination of Health Care Service for People With Disabilities
Hwang et al.
Journal of Disability Policy Studies 2009;20:28-34.
ABSTRACT  

Measuring Patients' Experiences With Individual Specialist Physicians and Their Practices
Rodriguez et al.
American Journal of Medical Quality 2009;24:35-44.
ABSTRACT  

Physicians' Views on Public Reporting of Hospital Quality Data
Barr et al.
Med Care Res Rev 2008;65:655-673.
ABSTRACT  

Nonprimary Care Physicians' Views on Office-Based Quality Incentive and Improvement Programs
Murphy and Nash
American Journal of Medical Quality 2008;23:427-439.
ABSTRACT  

So Much to Do, So Little Time: Care for the Socially Disadvantaged and the 15-Minute Visit
Fiscella and Epstein
Arch Intern Med 2008;168:1843-1852.
ABSTRACT | FULL TEXT  

The Medical Home: Growing Evidence to Support a New Approach to Primary Care
Rosenthal
J Am Board Fam Med 2008;21:427-440.
ABSTRACT | FULL TEXT  

A House Is Not A Home: Keeping Patients At The Center Of Practice Redesign
Berenson et al.
Health Aff (Millwood) 2008;27:1219-1230.
ABSTRACT | FULL TEXT  

The Patient-Centered Medical Home For Chronic Illness: Is It Ready For Prime Time?
Sidorov
Health Aff (Millwood) 2008;27:1231-1234.
ABSTRACT | FULL TEXT  

The Quality and Safety of Ambulatory Medical Care: Current and Future Prospects
Moskowitz and Nash
American Journal of Medical Quality 2007;22:274-288.
 

Which Type of Medical Group Provides Higher-Quality Care?
Casalino
ANN INTERN MED 2006;145:860-861.
FULL TEXT