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M LaNoue Jefferson Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA.


The purpose of this project was to use a participatory research methodology to develop a framework for understanding the concept of whole person orientation in primary care delivery. Whole person orientation is one of the seven Joint Principles of the Patient Centered Medical Home (PCMH) authored by the American Academy of Family Physicians in partnership with several other physician organizations. Although the PCMH model of primary care has been touted as part of the solution to the U.S. healthcare system’s cost and quality issues, there are few tools available to evaluate implementation of the essential components and none at all address whole person orientation by name. As a first step in creating a self-evaluation tool for primary care practices undergoing PCMH transformation, concept mapping was used to elicit, organize, and prioritize stakeholder perspectives regarding the meaning of whole person orientation. Participants included primary care patients, physicians, research staff, administrative staff, quality improvement staff, and students. The concept mapping process generated 66 statements, which were divided into eight different domains. These results provide an initial dimensional structure and tailored constituent items for creating a measure of whole person orientation.

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