Taxonomy I Part X (Family Medicine Center Patients)

(24 April 2006 12:10)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part X

(Family Medicine Center Patients)

*NPCB P2 I.14(SD I.14 (SD I.13.3)) Do you believe that, in general, your patients understand the range of services that they may obtain from your residency program? Yes __ No __

If no, elaborate:

Yes:

Arrowhead

Stockton

Dayton Community       (A lot don’t realize we do OB)

Miami Valley

Decatur

Klamath Falls

Lehigh Valley

Kaiser LA

Springfield

Glasgow

OHSU Portland

No:

Whittier

Pomona                        (General patients may understand the range, but not the competency of the residency program; a partial, even fragmented understanding)

Loma Linda                  (They are usually surprised that we can do all these things)

Louisville                      (Not sure we clearly list the range of readily accessible services that we provide)

MCE Birmingham         (If they don’t understand the range of services, we try to teach them about it, but most people underestimate the range of the specialty services here)

Glendale                       (we don’t have a listing of what we provide)

OU Tulsa

OU Oklahoma City      (Patients do not understand the range of services; even residents are surprised at the basket of services of family doctors)

Mercer                         (There are often referrals to 3 or 4 doctors; people do not know we do PAP smears)

Natividad                     (Some, absolutely yes, others, not a clue; some are sophisticated

about what to expect from a physician, others have no idea what to expect.  Some of our patients from Oaxaca do not understand at all.)

Mercy Toledo              (Patients in general do not understand the scope of services, nor the concept of continuity of services for the family)

Tyler                            (We can do a better job of informing patients what we do; many do not know of the range of services)

Las Vegas                    (I do not think people in the community know the range of services we provide, from delivering babies to psychotherapy)

Fresno                          (Our services are not well advertised; walk-in services for kids are not well-understood)

Lexington                     (in the local area, it is always a surprise that we do dermatology and gynecology)

Phase 2 Responses:

Yes:

Sparrow

Huntsville

Ventura                        (Most do)

Long Beach

Crozer-Keystone

McKeesport                 (We have a brochure that explains our services)

Oahu

No:

U Penn                         (Because we are part of a larger health system, our pediatric and obstetric services come as a surprise to some patients)

Jefferson                       (A lot do know know we see kids, or do sports medicine, basic procedures, obstetrics and gynecological procedures)

*NPCB P2 I.15 (SD I.15 (SD I.13.4)) Of the services that your residency provides, are there services that you believe should be better utilized by your patients?

Yes __ No __ If yes, elaborate:

Yes:

Whittier                        (Dermatology, women’s health clinics)

Pomona                        (obstetrical care, pediatric care, adolescent care, urgent care services)

Loma Linda                  (Flexible sigmoidoscopy, because we have so many underserved patients that get no other colonoscopic surveillance)

Stockton                      (greater use of CHF clinic, diabetes training, Coumadin clinic, safe baby classes)

Louisville                      (PAP Smears, mammograms and breast exams that could be provided in family medicine go to the obstetrics department; follow-up for cancer care or post-MI care; diabetes management)

MCE Birmingham         (sometimes we find the residents make unnecessary referrals; if patients want a service, we try to provide the service)

Glendale                       (prenatal and obstetrics care; obstetrical deliveries)

OU Tulsa                     (flexible sigmoidoscopy; osteopathic manipulation therapy)

OU Oklahoma City      (colorectal cancer screening; vasectomy; treadmill tests; non-surgical sports medicine; we have a separate clinic for preventive screening for women, PAP smear, mammogram, breast exam (funded by the Oklahoma Health Department)

Dayton Community       (obstetrics)

Miami Valley                (after hours services; orthopaedic care; fracture care; laceration care; sprains)

Decatur                        (after hours care)

Mercer                         (Some of the procedures we do are not known to patients.  They go to cardiologists for chest pain; they are unaware that we provide pediatric care, stress tests, PAP smears, vasectomies, treatment of menopause and other women’s health concerns)

Natividad                     (Prevention at large, childhood through geriatric; the range of patient education; reducing no-show rates)

Klamath Falls               (Cancer screening, particularly colonoscopy and sigmoidoscopy; obstetrical care)

Lehigh Valley                (minor surgical procedures)

Mercy Toledo              (Patients often do not know to ask whether we provide a service, such as obstetrical prenatal care and delivery (we do not do C-sections) pediatric care or dermatology; some patients do not understand general medicine, that we are not just “gatekeepers”; some patients go straight to the ER)

Tyler                            (Pediatric, orthopaedic and sports medicine services are underutilized)

Las Vegas                    (The broad range of services)

Fresno                          (Walk-in pediatrics; the asthma, hepatitis C and procedures clinics)

Springfield                    (They should use the family medicine center, instead of waiting and going to the emergency room; utilization of the acute care clinic should be re-directed to continuity clinics)

Glasgow                       (In general patients know what we do, but we constantly need to market the range of services we provide; we are able to provide a higher degree of technical care than patients appreciate)

Lexington                     (dermatology; gynecology and women’s health services; pediatric services)

No:

Arrowhead

Kaiser LA

OHSU Portland

Phase 2 Responses:

Yes:

Sparrow                       (Preventative, health maintenance services)

Huntsville                      (Diet and nutrition counseling are available, but patients “no-show”, as they do for their annual PAP smears)

Long Beach                  (Adolescent medicine well visits; dermatologic procedures could be better utilized)

Crozer-Keystone          (OB services; procedural services)

Jefferson                       (Sports medicine; basic procedures; GYN procedures (excluding colposcopy, which is often used)

McKeesport                 (adult men’s care; general health maintenance)

Oahu                            (colposcopy; flex sig; sports medicine)

No:

Ventura

U Penn

*NPCB P2 I.16 Do you believe that your residency program’s patients, who understand the range of services that your residency provides and who utilize those services properly, are receiving “comprehensive health care”? Yes __ No __

Yes:

Sparrow

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

*NPCB P2 I.17 Do you believe that your residency program’s patients, who understand the range of services that your residency provides and who use those services properly, are receiving “continuity of care”?  Yes __ No __

Yes:

Sparrow                       (We are at about 80% of our chronic disease patients seeing their primary care physician regularly)

Huntsville

Ventura

Long Beach

U Penn

Crozer-Keystone

Jefferson

McKeesport

Oahu

Last Updated (23 May 2006 19:51)