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Table 1 Survey questions from the Ambulatory Care Experiences Survey grouped by PCMH Domains

From: Key attributes of patient centered medical homes associated with patient activation of diabetes patients

PCMH domains Survey questions
Organizational Access When you needed care for an illness or injury how often did your personal doctor’s office provide care as soon as you needed it?
When you scheduled an appointment for a check-up or routine care how often did you get the appointment as soon as you needed it?
When you called your personal doctor’s office with a medical question during regular office hours how often did you get an answer the same day?
When you called your personal doctor’s office after regular office hours, how often did you get the help or advice you needed?
Integration of Care When your personal doctor sent you for a blood test, x-ray, or other tests, did someone from your doctor’s office follow-up to give you the test results?
How often did your personal doctor seem informed and up to date about the care your received from your specialist doctor?
Comprehensive Knowledge How would you rate your doctor’s knowledge of your medical history?
In the last 12 months, how often did your doctor seem to know all the important information about your medical history?
Office Staff Helpfulness In the last 12 months, how often were the office staff at your personal doctor’s office HELPFUL as you thought they should be?
Communication How often did your personal doctor listen carefully to you?
How often did your personal doctor give you clear instructions about what to do to take care of the health problems and symptoms that were bothering you?
How often did your personal doctor explain things in a way that was easy to understand?
Interpersonal Treatment How often did your personal doctor spend enough time with you?
Trust How often did you feel you could tell your personal doctor anything, even things you might not tell anyone else?
  1. Adapted from Safran DG et al. [22]
  2. PCMH Patient Centered Medical Home