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Task Force Six Report on Financing the New Model of Family Medicine |
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Lewin Group - Consultant Report |
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Lewin Group - Consultant Report Methodology |
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Greenfield Consulting Group - Patient Focus Group Report |
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Greenfield Consulting Group - Patient Focus Group |
Greenfield Consulting Group - Patient Focus Group
Research and Methodology
Future of Family Medicine Task Force Six:
Report on Financing the New Model of Family Medicine
New Model of Family Medicine Patient Focus Group Sessions
To facilitate the work of this task force, the Greenfield Consulting Group was asked to query focus groups in the same markets in which the original FFM research study was conducted for the purpose of vetting the New Model of Family Medicine with patients. A total of 6 focus groups were conducted in June of 2004 (2 groups of rural patients who had a family physician, 2 groups of inner-city patients who had a family physician, and 2 groups of suburban patients who did not have a family physician).
Patient Focus Groups Methodology:
The AAFP commissioned a comprehensive qualitative and quantitative research study in 2002 with the macro objective of understanding the challenges, both internal and external, facing Family Medicine. Further, this research was designed to help identify opportunities for refinement/evolution of the Family Medicine model. Using learning from this study, the AAFP developed a New Model of Family Medicine which is comprised of a range of key characteristics and services.
In order to assess/validate this New Model, the AAFP wished to gain input from patients presently receiving care from FP’s and, separately other PCP specialties. To this end, Greenfield Consulting Group was commissioned to conduct a program of qualitative research among patients of similar demographics and in the same geographies as were interviewed in the initial 2002 phase of research. The output of this New Model assessment/validation research is contained in the full Greenfield Report which is provided on the FFM website.
The macro objective of this study was to validate the New Model, since it was developed utilizing results from the initial research, and to get feedback regarding the New Model with which to guide and refine future communications campaigns directed towards patients and family physicians. To this end, this research focused on, but was not limited to, addressing the following objectives:
- To determine the public’s awareness of the Family Medicine specialty and the degree to which this awareness influenced the PCP selection process.
- To assess impressions of the New Model of Family Medicine as represented, for purposes of this research, by eleven individual "characteristics" and, separately, sixteen "services" (included in the Appendix of this report)
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- To comparatively evaluate the perceived relative importance of these "characteristics" and "services."
Given the exploratory and diagnostic nature of the research objectives detailed earlier, a qualitative methodology was used-specifically, six focus group interviews.
The design of the research was as follows:
SPECIFICATIONS FOR SIX PATIENT FOCUS GROUPS
- Recruit 10 respondents for 7-8 to show in each group.
- The groups will last approximately two hours.
- Recruit a mix of males and females and at least one non-Caucasian per location.
- Must be primary or joint decision-maker regarding choice of primary care physician for self and their household.
- Respondent must currently have healthcare insurance.
- Recruit a mix of education and marital statuses.
- Recruit a good mix of annual household income levels $30K+.
- Security, past participation, and articulation screens will be administered.
QUOTA A - FAMILY PHYSICIAN RURAL
- Rural Minnesota: Recruit two groups of patients with a family physician as their primary care provider.
- Respondents will be recruited from client provided rural zip codes.
- Recruit a good mix of ages 25-75 year-olds per group. Recruit at least 2 respondents age 65+ per group.
QUOTA B - FAMILY PHYSICIAN INNER CITY
- Los Angeles: Recruit two groups of patients with a family physician as their primary care provider.
- Respondents will be recruited from client provided inner city zip codes.
- Recruit a good mix of ages 25-75 year-olds per group. Recruit at least 2 respondents age 65+ per group.
QUOTA C - NON-FAMILY PHYSICIAN GENERAL
- Boston: Recruit two groups of patients without a family physician as their primary care provider. Recruit a mix of patients whose PCPs are Internists, ob/gyn’s, etc.
- Recruit a good mix of ages 25-75 year-olds per group.
- Respondents will be recruited from facility database.
FOCUS GROUP SCHEDULE:
- June 2nd, 2004, Boston, MA: QUOTA C - NON-FAMILY PHYSICIAN GENERAL
- June 3rd, 2004, Rural Minnesota, MN: QUOTA A - FAMILY PHYSICIAN RURAL
- June 8, 2004, Los Angeles, CA: QUOTA B - FAMILY PHYSICIAN INNER CITY