Accession Number : ADA313797

Title :   Improving Access to Primary Care at Moncrief Army Community Hospital.

Descriptive Note : Final rept. Jul 94-Aug 95,

Corporate Author : ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON

Personal Author(s) : Gaal, John M.

PDF Url : ADA313797

Report Date : AUG 1995

Pagination or Media Count : 85

Abstract : Many staff members and patients at Moncrief Army Community Hospital feel there is a significant problem with patients' ability to access primary care. The purpose of this study was to improve access to primary care at Moncrief Army Community Hospital using current resources. This study consisted of a survey to determine the level of access in the primary care areas; a productivity and efficiency evaluation of the primary care areas; and an analysis of five models developed to improve access. There were 198 surveys returned (46.6% return rate). Results reflected an access problem in the Internal Medicine Clinic and the Family Practice Clinic. Use of a ratio analysis regression analysis and a data envelopment analysis reflected that the Troop Medical Clinic and the Access Clinic were more efficient than the other primary care areas. The Family Practice Clinic was the least efficient. Five models were evaluated and two models were determined to be the best way to improve access to primary care within the constraints of current resources. Implementation of these two models will make better use of efficient primary care areas and improve less efficient areas ultimately improving access to primary care for beneficiaries of Moncrief Army Community Hospital.

Descriptors :   *MILITARY PERSONNEL, *CLINICAL MEDICINE, *MEDICAL SERVICES, *HOSPITALS, *INTERNAL MEDICINE, TEST AND EVALUATION, RATIOS, FAMILY MEMBERS, ARMY FACILITIES, EFFICIENCY, REGRESSION ANALYSIS, MEDICINE, ACCESS, RESOURCES, PRODUCTIVITY, PATIENTS, OUTPATIENT CLINICS, PUBLIC HEALTH, TOUCH.

Subject Categories : Medicine and Medical Research
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE