Evaluation
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Context: Information is limited regarding the readiness of primary care practices to make the transformational changes necessary to implement the patient-centered medical home (PCMH) model. Using comparative, qualitative data, we provide practical guidelines for assessing and increasing readiness for PCMH implementation.
Methods: We used a comparative case study design to assess primary care practices’ readiness for PCMH implementation in sixteen practices from twelve different physician organizations in Michigan. Two major components of...
Trust in the source of information about physician quality is likely to be an important factor in how consumers use that information in encounters with their doctor or in decisions about choice of provider. In this article, the authors use survey data from a nationally representative sample of 8,140 individuals with chronic illness to examine variation in consumer trust in different sources of physician quality information and how market segmentation factors explain such variation. The authors find that consumers place greater trust in physicians and hospitals relative to institutional...
Capacity building is often described as fundamental to the success of health alliances, yet there are few evaluations that provide alliances with clear guidance on the challenges related to capacity building. This article attempts to identify potential challenges of capacity building in multistakeholder health alliances. The study uses a multiple case study design to identify potential challenges and trade-offs associated with capacity building in four community health alliances in the United States. Multiple challenges were found to be common across the four...
The AF4Q Evaluation team will research and offer feedback on efforts to align incentives across the stakeholders in each market. The evaluation’s objectives will be to:
- Chronicle and document the activities of the AF4Q communities
- Understand the impact of these activities
- Identify key barriers to and facilitators of AF4Q community success
- Document and communicate lessons learned to disseminate to other communities
- Make program activity suggestions to the RWJF/NPO, including technical assistance
- Provide formative and valuable feedback and data to sites
Highlights of this effort will include ongoing key stakeholder interviews, the Alliance and consumer surveys, the National Survey of Small and Medium-Sized Physician Practices (NSSMPP), and implementation of a comprehensive public reporting tracking system.
Visit the PSU Evaluation Team website here.
Whereas many aspects of community health alliances have received attention by researchers and practitioners, leadership has consistently been highlighted as essential to their success. However, much of the writing on alliance leadership remains anecdotal and prescriptive, leaving the fundamental nature and assessment of alliance leadership unexamined. Using qualitative and survey data collected from two large studies of community health alliances, we describe aspects of leadership in alliances, construct a survey-based scale to assess leadership in community health care alliances, and provide initial psychometric assessment and validation of this new measure. Results of the reliability and validity assessments suggest considerable support for the survey-based measure. Although further psychometric testing is needed, the leadership measure holds the potential for researchers to go beyond anecdotal evidence by providing a more objective and comparable basis for assessing the contribution of leadership in health care alliances.