Patient Centered Medical Homes

Purpose/Rationale
Provision of quality health care services is a basic human right. Patient centre medical homes (PCMH) are innovative primary health care centre for the provision of quality services. It is a foundation for accessing efficient and cheaper health care services. The primary goal of PCMH is to transform the centre in order to deliver effective primary care services at affordable prices. The program offer practices for care organization for patients, nurses working in groups and coordination as well as tracking patient information. This institution partners with personal doctors and patients when required and exchange health information. They can also assure patients high quality services in an appropriate way. The primary purpose of the research proposal is to analyze the way PCMH would transform primary care; thus offering effective access to affordable and high quality health care services.

Literature Background
The literature study indicates that every human being has a right to access to affordable and high quality health care services. Therefore, it is the role of the government to ensure that citizens access to quality services at cheaper prices. Feldman and Alexander (2012) argue that nurses should take actions and put efforts in their roles to provide quality patient care. They should take the leadership roles in delivering effective services. This is essential because it will enable them to earn respect from their patients.  According to Feldman and Alexander (2012, p. 33), leaders in the health care should communicate effectively in the health care management. This is because communication is essential in solving social conflicts and conflicts that arise between patients and nurse over payment issues. This will contribute to successful performance; thus enabling nurses to deliver valuable services that meet the demanding needs of patients.

Research Design
The research will employ qualitative study in order to provide empirical investigation of social phenomena through the use of different data collection methods. Therefore, the research hypothesis will test as to whether the transformation of PCMH will contribute to the provision of affordable and quality primary care services to all patients. Under qualitative study, the researcher will test the hypothesis. This is through collecting and measuring the incidences of numerous views or opinions provided from the chosen data collection methods.  The qualitative research is effective because it quantifies data and provides generalized findings from the sampled populations of concern.
Data collection will be structured in the form of questionnaires, use of random sampling and surveys.  First, the research will structure questionnaires and distribute them to patients and nurses working in the PCMH. The research will be carried out from morning till afternoon hours. The questionnaires will be structured in the form of simple questions in order to help the researcher to gather adequate information from the interested respondents. Questionnaires are effective because they do not require many efforts and they would enable the researcher to compile and analyze data effectively.  Secondly, the researcher will use random sampling from the interested population to represent the whole population. Random sampling will help the researcher to control the required study. Lastly, the researcher will employ survey method, and he or she will ask patients in case they receive effective services. The researcher can also request them to provide their opinions in case they think that transformation of PCMH will enable them to meet their expectations.

Data Analysis
Data analysis will be descriptive in nature because the researcher will gather information and evaluate the results in descriptive nature. The research will interpret the findings and generalize the information with the help of tabulated tables. The proven hypothesis will be tested for nudity; thus seeking to ascertain the significance of PCMH in terms of transformation of the primary care to provide affordable and quality services. The researcher will interpret all the research findings through the use of statistical analysis in order to construe statistics.

Limitations
Ethical issues may arise especially when employing varied data collection methods. First, the research may encounter ethical problem because not all respondents will be ready to express their view or opinions. This is because they may feel that the information they will provide would be disclosed to the third party. Thus, it is essential for the researcher to promise that the information they will reveal would be confidential. The study limitation may results because some methods such as survey and sampling will contribute to biasness especially when the researcher is collecting information. This is because not every respondent wild be ready to provide true information. The research will also oversimplify the findings because of different information provided from the research data collection methods.

Conclusion
The research provided the rationale or the purpose of research study. Therefore, the primary purpose of the research proposal was to analyze the way PCMH would transform primary care in order to offer effective access to affordable and high quality health care services. It tackled on the literature review and what other researchers have provided about transformation of health care services. The research also employed different research design methods including use of questionnaires, survey and random sampling. It provided the hypothesis of the study that was to be tested and proven correct. Data analysis was descriptive in nature, and the researcher gathered information and evaluated the results with the help of statistical data. Lastly, the conclusion summarized the proposal and the research findings.

Reference
Feldman, H. R., & Alexander, G. R. (2012). Nursing leadership: A concise encyclopedia. New York, NY: Springer.