Can a Patient-Centered Medical Home Lead to Better Patient Outcomes? The Quality Implications of Geisinger's ProvenHealth Navigator
Can a Patient-Centered Medical Home Lead to Better Patient Outcomes? The Quality Implications of Geisinger's ProvenHealth Navigator
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DOI：
10.1177/1062860611417421
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发表时间：
2012-05-01
影响因子：
1.4
通讯作者：
Bloom, Frederick J., Jr.
中科院分区：
文献类型：
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作者：
Maeng, Daniel D.;Graf, Thomas R.;Bloom, Frederick J., Jr.
以患者为中心的医疗之家（PCMH）的主要目标之一是提供更高质量的护理，从而改善患者的预后。目前，关于PCMH实现这一目标的能力只有有限的证据。本文展示了PCMH在改善某些临床结果方面的作用，如ProvenHealth Navigator（PHN）所示，这是一种由Geisinger Health System开发和实施的先进PCMH模型。在这项研究中，作者检查了2005年至2009年Geisinger健康计划的索赔数据，并估计了PHN对降低糖尿病、终末期肾病、心肌梗死和中风患者截肢率的影响。结果表明，尽管PHN存在的时间相对较短，但它在某些结果方面取得了显着改善，进一步说明了它作为一种护理提供模式的潜力，可以在更大范围内采用。
One of the primary goals of the patient-centered medical home (PCMH) is to provide higher quality care that leads to better patient outcomes. Currently, there is only limited evidence regarding the ability of PCMHs to achieve this goal. This article demonstrates the effect of PCMHs in improving certain clinical outcomes, as shown by the ProvenHealth Navigator (PHN), an advanced PCMH model developed and implemented by Geisinger Health System. In this study, the authors examined the claims data from Geisinger Health Plan between 2005 and 2009 and estimated the effect of PHN on reducing amputation rates among patients with diabetes, end-stage renal disease, myocardial infarction, and stroke. The results show that, despite its relatively short period of existence, PHN has led to significant improvements in certain outcomes, further illustrating its potential as a care delivery model to be adopted on a wider scale.