@article{a91b680c4cb94383bb41b01b3e4343be,
title = "How Are Patients Accessing Primary Care Within the Patient-Centered Medical Home? Results from the Veterans Health Administration",
abstract = "The patient-centered medical home (PCMH) expands access by providing care same-day, by phone, and after hours; however, little is known about which patients seek these services. We examined the association of patient, clinical, and local economic characteristics with the self-reported use of 5 routine and nonroutine ways to access primary care within the Veterans Health Administration. We identified sets of characteristics, including gender- and age-specific, racial and ethnic, and socioeconomic differences of how veterans report seeking primary care. As the PCMH model develops, it will be important to further understand the differential demand for these services to optimize patient-centered access.",
keywords = "access to care, disparities, health services research, primary care, veterans",
author = "Augustine, {Matthew R.} and Nelson, {Karin M.} and Fihn, {Stephan D.} and Wong, {Edwin S.}",
note = "Funding Information: The authors are grateful for the collaboration and input of the VHA{\textquoteright}s Office of Analytics and Business Intelligence for the use of data from the SHEP and integrity of the reporting within this manuscript. They especially thank the administrative staff and analytic team within the PACT Primary Care Analytics and Evaluation Core for their support and assistance. Data for this report were developed by the PACT Primary Care Analytics and Evaluation Core and the VHA Clinical Systems Development & Evaluation, which are funded by the VHA Office of Primary Care Services and Office of Primary Care Operations. Dr Augustine was supported by a VHA HSR&D Physician Advanced Fellowship during this work. Dr Wong is supported by Career Development Award (CDA-13-024). Publisher Copyright: {\textcopyright} 2018 Wolters Kluwer Health, Inc.",
year = "2018",
doi = "10.1097/JAC.0000000000000241",
language = "English",
volume = "41",
pages = "194--203",
journal = "Journal of Ambulatory Care Management",
issn = "0148-9917",
publisher = "Lippincott Williams and Wilkins Ltd.",
number = "3",
}