A Patient-Centred Medical Home Care Model for Community-Dwelling Older Adults in Singapore: A Mixed-Method Study on Patient’s Care Experience

Mimaika Luluina Ginting, Chek Hooi Wong, Zoe Zon Be Lim, Robin Wai Munn Choo, Sheena Camilla Hirose Carlsen, Grace Sum and Hubertus Johannes Maria Vrijhoef
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Mimaika Luluina Ginting: Geriatric Education and Research Institute, Singapore 768024, Singapore
Chek Hooi Wong: Geriatric Education and Research Institute, Singapore 768024, Singapore
Zoe Zon Be Lim: Geriatric Education and Research Institute, Singapore 768024, Singapore
Robin Wai Munn Choo: Geriatric Education and Research Institute, Singapore 768024, Singapore
Sheena Camilla Hirose Carlsen: Geriatric Education and Research Institute, Singapore 768024, Singapore
Grace Sum: Geriatric Education and Research Institute, Singapore 768024, Singapore
Hubertus Johannes Maria Vrijhoef: Panaxea, B.V., 1098 XH Amsterdam, The Netherlands

IJERPH, 2022, vol. 19, issue 8, 1-24

Abstract: Patient-Centred Medical Home (PCMH) is a strategy to enhance patient-centredness to improve care experience. We aimed to understand patient experience of an integrated PCMH model for complex community-dwelling older adults in Singapore. We used a mixed-method design with a prospective single-group pre-post quantitative component and a concurrent qualitative component. Participants were administered the validated Consumer Assessment of Health Providers and Systems Clinician & Group Survey (CG-CAHPS) at baseline (N = 184) and 6-month (N = 166) post-enrolment. We conducted focus group discussions (FGDs) on a purposive sample of 24 participants. Both methods suggest better care experience in PCMH relative to usual care. There were improvements in the CG-CAHPS measures on patient–provider communication, care coordination, office staff interactions, support for patients in caring for their own health, and provider rating in PCMH relative to usual care. In the FGDs, participants reported benefits of consolidated appointments and positive experience in sustained patient–provider relationship, shared-decision making, and family/caregiver engagement in PCMH. Participants may not fully comprehend the concept of integrated care, hindering both the effective communication of the intended care model and perceived benefits such as the provision of multidisciplinary team-based care.

Keywords: patient-centred care; patient-centred medical home; integrated care; patient experience; mixed-method; care quality (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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