| 来源类型 | Publication |
| Outcomes for High-Needs Patients: Practices with a Higher Proportion of These Patients Have an Edge | |
| Dori A. Cross; Genna R. Cohen; Christy Harris Lemak; and Julia Adler-Milstein | |
| 发表日期 | 2017-03-30 |
| 出版者 | Health Affairs, vol. 36, no. 3 (subscription required) |
| 出版年 | 2017 |
| 语种 | 英语 |
| 概述 | High-value primary care for high-needs patients—those with multiple physical, mental, or behavioral health conditions—is critical to improving health system performance", |
| 摘要 | High-value primary care for high-needs patients—those with multiple physical, mental, or behavioral health conditions—is critical to improving health system performance. However, little is known about what types of physician practices perform best for high-needs patients. We examined two scale-related characteristics that could predict how well physician practices delivered care to this population: the proportion of patients in the practice that were high-needs and practice size (number of physicians). Using four years of data on commercially insured, high-needs patients in Michigan primary care practices, we found lower spending and utilization among practices with a higher proportion of high-needs patients (more than 10 percent of the practice’s panel) compared to practices with smaller proportions. Small practices (those with one or two physicians) had lower overall spending, but not less utilization, compared to large practices. However, practices with a substantial proportion of high-needs patients, as well as small practices, performed slightly worse on a composite measure of process quality than their associated reference group. Practices that treat a high proportion of high-needs patients might have structural advantages or have developed specialized approaches to serve this population. If so, this raises questions about how best to make use of this knowledge to foster high-value care for high-needs patients. |
| URL | https://www.mathematica.org/our-publications-and-findings/publications/outcomes-for-high-needs-patients-practices-with-a-higher-proportion-of-these-patients-have-an-edge |
| 来源智库 | Mathematica Policy Research (United States) |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/488823 |
| 推荐引用方式 GB/T 7714 | Dori A. Cross,Genna R. Cohen,Christy Harris Lemak,et al. Outcomes for High-Needs Patients: Practices with a Higher Proportion of These Patients Have an Edge. 2017. |
| 条目包含的文件 | 条目无相关文件。 | |||||
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。
