A Randomized, Controlled Trial of a Shared Panel Management Program for Small Practices.
A Randomized, Controlled Trial of a Shared Panel Management Program for Small Practices.
复制标题
针对小型诊所的共享小组管理计划的随机对照试验。
DOI：
10.1111/1475-6773.12455
复制
发表时间：
2016
影响因子：
3.4
通讯作者：
Casalino,LawrenceP
中科院分区：
文献类型：
--
作者：
Bishop,TaraF;Ryan,AndrewM;Chen,MelindaA;Mendelsohn,Jayme;Gottlieb,Daniel;Shih,Sarah;Desai,Priya;Wolff,ElizabethA;Casalino,LawrenceP
ObjectivesTo determine whether a shared panel management program was effective at improving quality of care for patients with uncontrolled chronic disease.Data SourcesData were extracted from electronic health records.Study DesignRandomized controlled trial of a panel management program initiated by New York City Department of Health and Mental Hygiene. Patients from 20 practices with an uncontrolled chronic disease and a lapse in care were assigned to the intervention (a phone call requesting that the patient schedule a physician appointment) or usual care. Outcomes were visits to physician practices, body mass index measurement, blood pressure measurement and control, use of antithrombotics, and low‐density lipoprotein measurement and control.Principal FindingsPanel managers were able to successfully speak with 1,676 patients (14.7 percent of the intervention group). There were no significant differences in outcomes between the intervention and usual care groups. Successfully contacted patients were more likely to have an office visit within 1 year of randomization (45.6 percent [95 percent CI: 22.8, 26.9] vs. 38.1 percent [95 percent CI: 36.8, 39.3]) and more likely to be on antithrombotics (24.4 percent [95 percent CI: 17.7, 31.0]) versus those in the usual care group (17.0 percent [95 percent CI: 13.9, 20.0]) but had no other difference in quality.ConclusionsA shared, low‐intensity panel management program run by a city health department did not improve quality of care for patients with chronic illnesses and lapses in care.
