JAMA Network November 26, 2018
David J. Meyers, MPH; Alyna T. Chien, MD, MS; Kevin H. Nguyen, MS; Zhonghe Li, MS; Sara J. Singer, MBA, PhD; Meredith B. Rosenthal, PhD

Key Points

Question What is the association of a team-based primary care transformation collaborative initiative with patient health care utilization and costs?

Findings In this study, among chronically ill patients in 18 practices who were exposed to team-based care, there was an 18% reduction in hospitalizations, a 25% reduction in emergency department visits, and a 36% reduction in ambulatory care–sensitive emergency department visits relative to 76 comparison practices. Among healthier patients, there was an increase in outpatient visits and hospitalizations.

Meaning Team-based approaches to primary care transformation may benefit patients with chronic illness by reducing the use of acute care; however, it may lead to higher use among healthier patients.

Abstract

Importance Empirical study findings to date are...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: Patient / Consumer, Pricing / Spending, Primary care, Provider
Health care waste exposed [PODCAST]
Finger on the Pulse: The State of Primary Care in the U.S. and Nine Other Countries
Physician Compensation Continues To Decline, Despite A Dire Shortage
Walgreens Suffers $6 Billion Loss As VillageMD Clinic Investment Sours
Study: Primary care physicians ‘stretched too thin’ to take on additional research

Share This Article