RT Journal Article SR Electronic T1 Do Primary Care Patient Experiences Vary by Teaching versus Nonteaching Facility? JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 239 OP 248 DO 10.3122/jabfm.2014.02.130222 VO 27 IS 2 A1 Diana N. Carvajal A1 Arthur E. Blank A1 Claudia Lechuga A1 Clyde Schechter A1 M. Diane McKee YR 2014 UL http://www.jabfm.org/content/27/2/239.abstract AB Background: Patient experiences are important components of the patient-centered medical home. Competing demands of primary care and resident education contribute to inefficiencies at teaching sites, which may contribute to poor patient experiences. Educational commitments of residencies may also produce positive experiences. The objective of this study was to compare patient experiences in teaching versus nonteaching sites. Methods: Patients across 6 primary care sites (3 teaching and 3 nonteaching) completed surveys. Patient experiences assessed using (1) Consumer Assessment of Health care Providers and Systems (CAHPS) across 3 domains: access to care, communication, clerk/receptionist courtesy (scores range from 1 [worst] to 6 [best]) and (2) Patient Assessment of Chronic Illness Care, measuring chronic care experiences (scores range from 1 [worst] to 5 [best]). Results: Approximately 70% of participants were female and >40% were Latino. The adjusted mean score for patient-reported access at teaching sites was 4.35; at nonteaching sites it was 5.14 (P = .01). The total mean score for chronic disease was 4.02 for teaching sites and 3.79 for nonteaching sites (P = .01). Four of the 5 Patient Assessment of Chronic Illness Care subscale scores were better at teaching sites. Conclusions: Worse access scores among teaching sites may reflect the complexities of residencies. Better chronic care scores are encouraging and potentially indicate focused training. Residencies might continue chronic disease training while considering efforts to improve access.