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Medical Student Awareness of the Patient-centered Medical Home

机译：医学生对以患者为中心的医疗之家的认识

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BACKGROUND AND OBJECTIVES: The Patient-centered Medical Home (PCMH) has come to the forefront of primary care practice redesign and can potentially improve health care outcomes and reduce costs. There are several initiatives in medical schools to teach concepts of the PCMH to students, but it is unknown what knowledge and attitudes medical students currently possess. We report students' awareness and opinions at two medical schools without comprehensive PCMH curricula. METHODS: A total of 1,408 first- through fourth-year students at both schools were invited to participate. We distributed an electronic survey to all students via institutional e-mail listserves. Descriptive statistics were used. RESULTS: A total of 359 students participated, for a response rate of 25.5%. Despite no comprehensive curricula, 40.9% students had still encountered the topic of the PCMH. Family medicine and primary care clerkships serve as the most frequent point of exposure for students. Although many students reported not understanding the overall PCMH concept, most cited "some" understanding when presented with individually defined PCMH principles with the one exception: Value-based Payment. A significant portion of first-, second-, and third-year students rated learning about the PCMH by graduation as "important," while most fourth-year students rated this as "somewhat important." Students performed well on one knowledge question about PCMH principles; however, 29.6% of respondents believed that primary care physicians function as gatekeepers in the PCMH model. CONCLUSIONS: Medical students appear to have limited exposure and knowledge of the PCMH concept, suggesting the need to develop curricula about the PCMH in medical schools.
机译：背景与目的：以患者为中心的医疗之家（PCMH）已成为重新设计初级保健实践的最前沿，可以潜在地改善保健效果并降低成本。医学院中有一些计划可以向学生传授PCMH的概念，但目前尚不了解医学生所拥有的知识和态度。在没有全面的PCMH课程的情况下，我们在两所医学院报告学生的意识和观点。方法：邀请两所学校的一年级至四年级学生共1,408名参加。我们通过机构电子邮件列表服务器向所有学生分发了电子调查。使用描述性统计。结果：共有359名学生参加，响应率为25.5％。尽管没有综合课程，但仍有40.9％的学生遇到过PCMH主题。家庭医学和初级保健业务是学生接触的最频繁点。尽管许多学生表示不了解PCMH的总体概念，但除个别定义的基于PCMH的原理外，大多数人还引用了“某些”理解：基于价值的付款。大部分的一年级，二年级和三年级学生将毕业后对PCMH的学习评价为“重要”，而大多数四年级学生则将此评价为“相当重要”。在关于PCMH原理的一个知识问题上，学生表现良好;然而，有29.6％的受访者认为初级保健医生在PCMH模型中起着看门人的作用。结论：医学院的学生似乎对PCMH概念的了解和了解有限，这表明需要在医学院中制定有关PCMH的课程。

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