Intensive Outpatient Program Effects on High-need Patients' Access, Continuity, Coordination, and Engagement

Medical Care
Frances M WuDonna M Zulman

Abstract

The intensive and varied services required by high-need patients have inspired a number of new care delivery models; however, evidence of their effectiveness is mixed. This study evaluated whether augmenting a patient-centered medical home (PCMH) with intensive outpatient management enhances high-need patients' care processes. Retrospective analysis using differences-in-differences and χ tests. Of 545 high-need patients receiving PCMH care, 140 were previously randomly selected for the intensive outpatient management program; the remaining received usual care. We evaluated program effects on care continuity (proportion of primary care visits with assigned primary care physician); access (proportion of telephone visits out of all primary care encounters, missed appointment rate); care coordination (rate of follow-up after hospital discharge, new telehealth enrollment); and patient engagement (rates of online personal health record registration, advance directive completion). Compared with patients receiving usual care, patients enrolled in intensive management experienced a 5.9% increase in proportion of primary care visits with an assigned primary care physician (P<0.001) and a 17.9% increase in proportion of telephone-based vi...Continue Reading

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Citations

May 30, 2019·Journal of General Internal Medicine·Kristie Y HsuDonna M Zulman
Oct 13, 2020·Translational Behavioral Medicine·Rebecca K DelaneyElissa M Ozanne
Dec 2, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Geronimo JimenezJosip Car
Feb 20, 2021·Healthcare : the Journal of Delivery Science and Innovation·Brian HilgemanTheodore MacKinney
May 15, 2021·Journal of General Internal Medicine·Michelle S WongEvelyn T Chang

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