Caregiver Expectations and Satisfaction of Urgent Care in a Pediatric Emergency Department
This study examined caregiver expectations and satisfaction with urgent care in a pediatric emergency department. Of 201 caregivers surveyed, we found that caregivers have specific expectations regarding clinical care of their child in terms of radiographic imaging, blood testing, antibiotics, pain management, and subspecialty consultation. Caregivers were generally less dissatisfied with the actual care provided than the urgent care physicians expected. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Administrative Challenges to the Integration of Oral Health With Primary Care: A SWOT Analysis of Health Care Executives at Federally Qualified Health Centers
Inadequate access to preventive oral health services contributes to oral health disparities and is a major public health concern in the United States. Federally Qualified Health Centers play a critical role in improving access to care for populations affected by oral health disparities but face a number of administrative challenges associated with implementation of oral health integration models. We conducted a SWOT (strengths, weaknesses, opportunities, and threats) analysis with health care executives to identify strengths, weaknesses, opportunities, and threats of successful oral health integration in Federally Qualifie...
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Changes in the Health Professions: A Commentary
Increased life expectancy in the United States has been accompanied by a concomitant increase in the prevalence of chronic conditions in persons of all ages, especially older Americans. This necessitates new ways of organizing and conducting medical practice, and this affects the roles and interactions of health professionals. Physicians and other health professionals require appropriate training and more efficient workplaces to enhance their functioning and reduce burnout. Additional factors influencing the success of health professionals in further advancing the health and well-being of Americans are health information t...
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Commentary on “Community Health Workers and the Changing Workforce”: No More Opportunities Lost
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Commentary on “Changes in the Roles of Health Care Professionals in Primary Care in England's National Health Service”
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Commentary on “Evidence-Based Self-management Programs for Seniors and Other With Chronic Diseases”: Patient Experience—Patient Health—Return on Investment
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Commentary on “Medicine's Niche Among the Professions”
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Transforming Health Care Systems: CHWs as the Glue in Multidisciplinary Teams
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Commentry on “The Changing Medical Division of Labor”
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Dramatic Changes in Health Care Professions in the Past 40 Years
During the forty-year life of the Journal of Ambulatory Care Management, revolutionary transformations have occurred in the roles of existing health professions, as has the emergence of new categories of health professionals. This paper specifies the reasons for these dramatic changes, the new types of health care professions that have emerged, changes in existing professions, and suggestions of future directions. Many of these changes will be impacted by what occurs in Washington, DC in the debate over the Accountable Care Act. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

From the Editor
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: From the Editor Source Type: research

Patient-Centered Medical Home Implementation and Burnout Among VA Primary Care Employees
Burnout is widespread throughout primary care and is associated with negative consequences for providers and patients. The relationship between the patient-centered medical home model and burnout remains unclear. Using survey data from 8135 and 7510 VA primary care employees in 2012 and 2013, respectively, we assessed whether clinic-level medical home implementation was independently associated with burnout prevalence and estimated whether burnout changed among this workforce from 2012 to 2013. Adjusting for differences in respondent and clinic characteristics, we found that burnout was common among primary care employees,...
Source: The Journal of Ambulatory Care Management - February 28, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Ready for Change? The Role of Physician and Staff Engagement, Burnout, and Workplace Attributes
We examined factors associated with change readiness among 343 primary care physicians and 590 nonphysician staff undergoing “Lean”-based process improvements. Baseline levels of engagement were associated with greater readiness for change across all measured domains. Job-related burnout correlated with greater need for change, but lower self-efficacy and perceived support, whereas a personal sense of accomplishment was associated with higher efficacy to implement changes. At a department level, teamwork, participation in decision making, and change history were associated with higher engagement and lower burnout among...
Source: The Journal of Ambulatory Care Management - February 28, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Use of Federally Qualified Health Centers and Potentially Preventable Hospital Utilization Among Older Medicare-Medicaid Enrollees
Using Medicare claims data from 2007 to 2010, we sought to determine whether dual eligibles 65 years and older who utilize federally qualified health centers (FQHCs) have lower rates of ambulatory care-sensitive hospitalizations and emergency department visits compared with nonusers. We found that FQHC use is associated with increased ambulatory care-sensitive hospitalization rates for whites and other races, but a decrease among blacks. Depending on race, FQHC use is associated with an increase of 24 to 43 ambulatory care-sensitive emergency department visits per thousand persons annually. More research is needed to under...
Source: The Journal of Ambulatory Care Management - February 28, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Transforming Primary Care Practice and Education: Lessons From 6 Academic Learning Collaboratives
We describe a common framework that academic learning collaboratives are using to transform primary care practice based on our analysis of 6 collaboratives nationally. We show that the work of the collaboratives could be divided into 3 phases and provide detail on the phases of work and a road map for those who seek to emulate this work. We found that learning collaboratives foster transformation, even in complex academic practices, but need specific support adapted to their unique challenges. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - February 28, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research