Assignment:Create an outline of the analysis and synthesis you’ve completed on the articles read to date. This outline should include the pertinent findings from at least 15 articles.I have attached a copy of my abstract with my topic and some of the articles. Let me know if this can be done or if you need anything else.Abstract- (ACHE)
The effect of provider job
satisfaction and burnout when a non-PCMH site becomes PCMH
Background:Patient centered medical home (PCMH) sites have been
on a steady rise over the past few years.
It is being embraced by many, in hopes that it will improve healthcare
in the United States by reducing costs and improving patient outcomes. .
However, as important as cost and patient outcomes are, another integral part
of the PCMH equation isn’t discussed very often: the providers. How will PCMHs
impact providers? This systematic review of literature will investigatepractice
change from non-PCMH to PCMH, and its effect onthe satisfaction and burnout of
providers, using a wide lens and multiple perspectives to understand both the
details and the overall success of the transformative change process.
Methods:A complete search of current medical literature will be performed, this
will include, but not limited to: UC Health Science Library, Medline-OVID,
EBMR-Cochrane Review, and CINAHL, using the keyword patient-centered medical
home and the MESH terms patient centered care, PCMH, non-PCMH to PCMH, job
satisfaction, burnout, professional, provider, provider satisfaction, provider burnout.
This systematic review of literature will investigate the use of PCMHs and its
effect on the satisfaction and burnout of providers.Because we want to
understand the mechanisms as well as results of practice change towards a PCMH,
we will be collecting quantitative data in 3 key points, namely; 1-Intermediate
process measures (staff perceptions about the providers and the organization),
2- Patient outcomes (patient ratings of their experience with the practice,
providers and measures of care quality), 3-Provider satisfaction and burnout
(providers are overwhelmed, contented or dissatisfied). Evidence-based
materials and literature will be used to highlight the benefits of a holistic
view of the practice change process, outcomes and impact on providers.
Keywords:Patient-centered care, Patient-centered Medical Home, PCMH, non-PCMH to
PCMH, Job Satisfaction, Provider satisfaction, provider burnout
Results: Results will be furnished upon research completion.
Kilo CM, Wasson
JH. (2010). Practice redesign and the patient-centered medical home: History,
promises, and
challenges. Health Aff; 29(5):773-778
Agency for
Healthcare Research and Quality. Defining the PCMH.
http://pcmh.ahrq.gov/portal/server.pt/community/pcmh__home/1483/pc mh_defining_the_pcmh_v2.
Jaen CR, Ferrer
RL, Miller WL, et al. (2010). Patient
outcomes at 26 months in the patient-
centered medical home National Demonstration Project.
Ann Fam Med. (8 Suppl. 1):S57-67;S92.
Carrier E,
Gourevitch MN, Shah NR. (2009).Medical homes: Challenges in translating theory
into practice. Med Care; 47(7):714-722
Spickard A, Jr,
Gabbe SG, Christensen JF. (2002). Mid-career burnout in generalist and
specialist physicians. JAMA; 288(12):1447-1450.
Jaen CR, Ferrer
RL, Miller WL, et al. (2010). Patient
outcomes at 26 months in the patient-
Centered medical home National Demonstration Project.
Ann Fam Med. (8 Suppl. 1):S57-67;S92.
Safety Net Medical
Home Initiative. Change Concepts Overview.
.safetynetmedicalhome.org/change-concepts”>http://www.safetynetmedicalhome.org/change-concepts.
Reid RJ, Coleman
K, Johnson EA, et al. (2010).The group health medical home at year two:
Cost savings, higher patient satisfaction, and less
burnout for providers. Health Aff; 29(5):835-843.
Krasner MS,
Epstein RM, Beckman H, et al. Association of an educational program in mindful
communication with burnout, empathy, and attitudes
among primary care physicians. JAMA. 2009; 302 (12):1284-1293.
Lewis SE, Nocon
RS, Tang H, et al. (2012). Patient-centered medical home characteristics and
staff morale in safety net clinics. Arch Intern Med;
172(1):23-31.
Ramirez AJ, Graham
J, Richards MA, Cull A, Gregory WM. Mental health of hospital
consultants: The effects of stress and satisfaction at
work. Lancet. 1996; 347 (9003):724-728.
Gilfillan RJ,
Tomcavage J, Rosenthal MB, et al. Value and the medical home: effects of
transformed primary care. Am J Manag Care
2010;16:607-14
Reid RJ, Fishman
PA, Yu O, et al. Patient-centered medical home demonstration: a prospective,
quasi-experimental, before and after evaluation. Am J
Manag Care 2009;15:e71-87