Improving Primary Care Delivery through Allocation of Resources

The Problem

The delivery of high quality patient-centered care (PCC) is essential for improving the health of Americans and for containing the costs of medical care.  The quality of PCC delivered in a healthcare system is difficult to measure, which limits the healthcare system’s ability to provide and improve their delivery of PCC.  A critical barrier to providing patient-centered care is the potential disconnect between patients’ evidence-based needs and personal preferences.  This study seeks to improve healthcare by improving the measurement of PCC, and understanding its enablers and benefits.


  1. To identify gaps in patient and physician perceptions of needs, wants, and the primary care that is delivered; and
  2. To identify the sources and consequences of these gaps.


Retrospective chart reviews will help identify relevant health outcomes of the patients in the cohort.  This data on health outcomes will serve as initial evidence of the relationship between various measures of patient-centeredness and health outcomes.

Potential Impact

This project will contribute to measurement methods for patient centeredness by developing a method that accounts for multiple dimensions as well as resource restrictions.  It will impact patients when the findings are disseminated in resident training programs to help physicians learn about meeting and managing patient perceptions and expectations.

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