Effect of Integrated Gastroenterology Specialists in a Primary Care Setting: a Retrospective Cohort Study.

Journal of General Internal Medicine
Lindsey M PhilpotConor G Loftus

Abstract

Gastrointestinal (GI) complaints are common in primary care practices. The patient-centered medical home (PCMH) may improve coordination and collaboration by facilitating coordination across healthcare settings and within the community, enhancing communication between providers, and focusing on quality of care delivery. To investigate the effect of integrated community gastroenterology specialists (ICS-GI) model within a large primary care practice. Retrospective cohort with propensity-matched historic controls. We identified 265 patients who had a visit with one of our ICS-GI specialists and matched them (1:2) to 530 similar patients seen prior to the implementation of the ICS-GI model. Frequency of diagnostic testing for GI indications, visits to our outpatient GI referral practice, emergency department and hospital utilization, and time to access of specialty care for the whole population and by GI condition group. Patients seen in our ICS-GI model had similar outpatient care utilization (OR = 1.0, 95% CI 0.7-1.4, p = 0.90), were more likely to have visits in primary care (OR OR=1.5, 95% CI 1.1-2.2, p = 0.02), and were less likely to have visits to our GI outpatient referral practice (OR = 0.3, 95% CI 0.2-0.7, p < 0.0001). C...Continue Reading

References

Jan 1, 2013·Mayo Clinic Proceedings·Jennifer L St SauverWalter A Rocca
Feb 5, 2013·Annals of Internal Medicine·George L JacksonJohn W Williams
Feb 27, 2015·World Journal of Gastroenterology : WJG·Yaron NivEyran Halpern
Dec 13, 2016·Journal of Evaluation in Clinical Practice·Nathan P YoungJon O Ebbert
Aug 26, 2017·Neurology. Clinical Practice·Muhamad Y ElrashidiJon O Ebbert
Jul 12, 2019·Journal of the Canadian Association of Gastroenterology·Erin KeelyClare Liddy

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