The US health care system is often described as a complex, fragmented system where patients experience less access, coordinated, and comprehensive care that is ultimately more costly (Rosenberg, 2009). The problem addressed in this study was to understand coordinated medical treatment in the medical home model from the patient perspective. This study provides the opportunity to increase the understanding of the factors affecting coordinated medical treatment success. The study was guided by Gharajedaghi’s (2011) systems theory understanding of a whole system; where one recognizes the relationships between the components of the system in relation to the entirety of the system. The research question asked, “How do patients understand coordinated medical treatment success in the Minnesota medical home model?” The study incorporated an exploratory qualitative inquiry approach which gained access to the perspectives of 15 patients. Inductive analysis identified themes and patterns across the data. Overall, the findings were similar to the literature reviewed for this study. Results strongly indicated patients confused with the term Health Care Home and perceive a lack of coordination and collaboration with different parts of the health care system. The findings add to the current literature concerning which features patients understand and correlate with treatment success. The results reinforce the expressed need to explore transformative change in health care in how the system must communicate, collaborate, and coordinate patient care leveraging many parts of the system to deliver high quality care. Furthermore, it strengthens the argument for medical homes to be a centralized model of care synonymous with providing quality care.
|Adviser||Marilyn E. Harris|
|Subjects||Management; Medicine; Health care management|
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