Factors and Behaviors to Consider when Implementing Patient-Centered Medical Home

Objectives:  The purpose of this study is to determine whether individual characteristics and health behaviors are predictors of patient satisfaction and health status in military beneficiaries receiving health care services at Schofield Barracks Health Clinic.  In this study, we will also investigate when health care provider support and patient preference for autonomy influence patient satisfaction and health status.  In addition, subgroup analyses will be conducted to explore group differences in patient satisfaction and health status according to demographics.  Lastly, the results from this study will be used to assist in the implementation of the PCMH as well as the development and modifications of interventions and processes aimed at improving patient satisfaction and health status.

Specific Aims:  (1) To determine what individual characterisitcs (religious participation, spirituality, mistrust, racism/discrimination, perceived access to care, and continuity of care) affect patient satisfaction and health status. (2) To determine what health behaviors (patient-provider communication, communications, and interpersonal treatment) affect patient satisfaction and health status. (3) To determine if provider autonomy support and patient preference for autonomy moderate patient satisfaction and health status. (4) To explore significant subgroup differences in patient satisfaction and health outcomes.

Design:  This study will be a descriptive, correlation design guided by Andersen Behavioral Model for Health Services Use.

Rationale: To examine relationships of individual characteristics and health behaviors that predicts patient satisfaction and health status. This design will also allow examination of moderation effects.

Methods:  A model will be tested to determine significant relationships.  Multiple regression analyses will be used to examine these relationships.  Hierarchical regression analyses will be used to assess the extent to which health behaviors add to the prediction of patient satisfaction and health status beyond individual characteristics.

Relevance: The purposes of this study align with two TSNRP goals. First, findings would help to build knowledge about “Force Health Protection” by holistically examining characteristics affecting Soldiers and military family members entrusted in our care.  Second, results from this study could also advance knowledge about “Nursing Competencies and Practice” by developing evidence for characteristics and behaviors that affect patient outcomes.

Final Report is available on NTRL: https://ntrl.ntis.gov/NTRL/dashboard/searchResults/titleDetail/PB2015101...