Utilization Outcomes of a Pilot Primary Care Team Redesign:

Health Services Research & Managerial Epidemiology

Alison R.Landrey¹ 

关键词: emergency visits;    practice management;    program evaluation;    access to care;    primary care;   

DOI  :  10.1177/2333392818789844

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objectives:To evaluate the effect of a team-based primary care redesign on primary care, emergency department (ED) and urgent care (UC) utilization, and new patient access to primary care.Study Design:A retrospective pre–post difference-in-differences analysis of utilization outcomes for patients on a redesigned primary care team compared to a standard primary care group.Methods:Within a patient-centered medical home, a pilot team was developed comprising 2 colocated “teamlets” of 1 physician, 1 nurse practitioner (NP), 1 registered nurse (RN), and 2 licensed practical nurses (LPNs). The redesigned team utilized physician–NP comanagement, expanded roles for RNs and LPNs, and dedicated provider time for telephone and e-mail medicine. We compared changes in number of office, ED, and UC visits during the implementation year for patients on the redesigned team compared to patients receiving the standard of care in the same clinic. Proportion of new patient visits was also compared between the pilot and the co...

【 授权许可】

CC BY