Patient-Centered Medical Home Implementation and Primary Care Provider Turnover

BACKGROUND: The Veterans Health Administration (VHA) began implementing a patient-centered medical home (PCMH) model of care delivery in April 2010 through its Patient Aligned Care Team (PACT) initiative. PACT represents a substantial system reengineering of VHA primary care and its potential effect on primary care provider (PCP) turnover is an important but unexplored relationship. This study examined the association between a system-wide PCMH implementation and PCP turnover. METHODS: This was a retrospective, longitudinal study of VHA-employed PCPs spanning 29 calendar quarters before PACT and eight quarters of PACT implementation. PCP employment periods were identified from administrative data and turnover was defined by an indicator on the last quarter of each uncensored period. An interrupted time series model was used to estimate the association between PACT and turnover, adjusting for secular trend and seasonality, provider and job characteristics, and local unemployment. We calculated average marginal effects (AME), which reflected the change in turnover probability associated with PACT implementation. RESULTS: The quarterly rate of PCP turnover was 3.06% before PACT and 3.38% after initiation of PACT. In adjusted analysis, PACT was associated with a modest increase in turnover (AME=4.0 additional PCPs per 1000 PCPs per quarter, P=0.004). Models with interaction terms suggested that the PACT-related change in turnover was increasing in provider age and experience. CONCLUSIONS: PACT was associated with a modest increase in PCP turnover, concentrated among older and more experienced providers, during initial implementation. Our findings suggest that policymakers should evaluate potential workforce effects when implementing PCMH

Economic growth · Economics · Family medicine · Geography · Medical home · Pact · Political science · Primary care · Quarter (Canadian coin) · Turnover · Workforce · Chronic Disease Management Strategies · Demography · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes

• Roles of Physicians and Health Care Systems in “Difficult” Clinical Encounters

  Open Access•Elizabeth S Goldsmith, Erin E Krebs•The AMA Journal of Ethic•2017

  Incluir item

• Burnout and Turnover Among Veterans Health Administration Primary Care Providers From Fiscal Years 2017–2021

  Eric A Apaydin, Caroline K Yoo et al.•Medical Care•2025

  Incluir item

• Perceptions of organizational change

  Alannah E Rafferty, Mark A Griffin et al.•Journal of Applied Psychology•2006

  Incluir item

• Unemployment, job satisfaction, and employee turnover

  Jeanne M Carsten, Paul E Spector•Journal of Applied Psychology•1987

  Incluir item

• Predictors and outcomes of openness to changes in a reorganizing workplace.

  Connie R Wanberg, Joseph T Banas•Journal of Applied Psychology•2000

  Incluir item

• Exchange variables as predictors of job satisfaction, job commitment, and turnover

  Open Access•Daniel Farrell, Caryl E Rusbult•Organizational Behavior and Human…•1981

  Incluir item

• Interaction Terms in Nonlinear Models

  Open Access•Pinar Karaca‐Mandic, Edward C Norton et al.•Health Services Research•2011

  Incluir item

• Labor Pains

  James N Baron, Michael T Hannan et al.•American Journal of Sociology•2001

  Incluir item