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- W2890678272 abstract "<h3>Introduction:</h3> Emerging policy consensus advocates that patient-centered care should include an active, practice-level patient role, but it is unknown how commonly these roles are implemented. We sought to understand current prevalence and predictors of practice-level patient engagement in US primary care settings. <h3>Methods:</h3> We assessed practice-level patient engagement by using 2016 American Board of Family Medicine Certification Examination registration data, restricted to ambulatory primary care site respondents randomly selected for a patient-centered medical home (PCMH) question module. Multivariate logistic regression models identified predictors of high-intensity patient engagement, defined as a patient advisory council or patient volunteers in quality improvement activities. <h3>Results:</h3> A total of 6900 examinees reported practicing in primary care sites; 1368 randomly received PCMH questions. Practice-level patient engagement included patient surveys (76.5%; 95% CI, 74.3–78.8%), patient suggestion boxes (52.9%; 95% CI, 50.2–55.5%), patient board of director memberships (18.8%; 95% CI, 16.7–20.9%), patient advisory councils (23.8%; 95% CI, 21.5–26.0%), and patient participation in quality improvement (20.5%; 95% CI, 18.3–22.6%). High-intensity patient engagement was reported by 31.1% (95% CI, 28.7–33.6%); predictors included large practice size (OR, 3.30; 95% CI, 1.96–5.57), serving more vulnerable patient populations, (OR, 1.83; 95% CI, 1.18–2.84) and PCMH certification (OR, 2.19; 95% CI, 1.62–2.97). <h3>Conclusions:</h3> Nearly one-third of physicians reported working in settings with high-intensity practice-level patient engagement. An implementation science approach should examine why high-intensity activities are more common in some practice settings and whether these activities add value through improved patient experience and health outcomes." @default.
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- W2890678272 date "2018-09-01" @default.
- W2890678272 modified "2023-09-25" @default.
- W2890678272 title "How Is Family Medicine Engaging Patients at the Practice-Level?: A National Sample of Family Physicians" @default.
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- W2890678272 doi "https://doi.org/10.3122/jabfm.2018.05.170418" @default.
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