Jennifer E. DeVoe|Lorraine S. Wallace|Nancy Pandhi|Rachel Solotaroff|George E. Fryer
Comprehending Care in a Medical Home: A Usual Source of Care and Patient Perceptions about Healthcare Communication
University of Wisconsin–Madison|University of Tennessee at Knoxville|Oregon Health & Science University|New York University|University of Wisconsin–Madison|University of Tennessee at Knoxville|Oregon Health & Science University|New York University|Oregon Health & Science University|University of Wisconsin–Madison|New York University|University of Tennessee at Knoxville|University of Tennessee at Knoxville|Oregon Health & Science University|University of Wisconsin–Madison|New York University|University of Tennessee at Knoxville|Oregon Health & Science University|University of Wisconsin–Madison|New York University
objective examine whether usual source care usc associated positive patient perceptions health care communication identify demographic factors among patients usc independently associated differing reports patients perceive involvement health care decision makingmethods crosssectional analyses nationally representative data 2002 medical expenditure panel surveyamong adults health care visit past year n 16700 measured independent associations usc patient perceptions health care communicationsecond among respondents usc n 18000 assessed independent association various demographic factors indicators patients perceptions autonomy making health care decisionsresults approximately 78 adults united states reported uscthose usc likely report providers always listened always explained things clearly always showed respect always spent enough time thempatients perceived higher levels decisionmaking autonomy nonhispanic health insurance coverage lived rural areas higher incomesconclusions patients usc likely perceive positive health care interactionscertain demographic factors among subgroups medical expenditure panel survey respondents usc associated patient perceptions greater decisionmaking autonomyefforts ensure universal access usc must partnered broader awareness training usc providers engage patients various demographic backgrounds equally making health care decisions point carej board fam med 200821441450for many patients navigating health care system united states dauntingwith increasing complexity medical technology explosion media messages pharmaceutical products sometimes difficult comprehend carethe ability understand professional recommendations communicate clinicians important receipt good quality health care services impacts patient satisfaction 12in turn establishing good lines commuthis article externally peer reviewed