Relationship of Clinic Medical Home Scores to Health Care Costs

被引：11

作者：

Flottemesch, Thomas J. ^{[1
,2
]}

Fontaine, Patricia ^{[1
,2
]}

Asche, Stephen E. ^{[1
,2
]}

Solberg, Leif I. ^{[1
,2
]}

机构：

[1] HealthPartners Res Fdn, POB 1524,MS 21111R, Minneapolis, MN 55440 USA

[2] Univ Minnesota, Minneapolis, MN 55455 USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2011年 / 34卷 / 01期

基金：

美国医疗保健研究与质量局;

关键词：

clinical systems; medical costs; medical utilization; primary care medical home;

D O I：

10.1097/JAC.0b013e3181ff6fd2

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Multilevel, multivariate models examined the relationship between Primary Care Medical Home (PCMH) practice systems as measured by the Physician Practice Connections (R) - Readiness Survey (TM) (PPC (R)-RS (TM)) and costs (total, outpatient, and inpatient) using 2008 patient data from 21 primary care clinics. Overall, PPC-RS scores were associated with insignificant changes in total (-$75/person, 1.1%) outpatient (-$67/person, 1.2%), and inpatient ($68/person, 0.5%) costs. However, improved PPC-RS scores were associated with significant decreases in total ($2378, 4.4%) and outpatient ($1282/person, 3.5%) costs among patients with 11 or more prescriptions suggesting higher functioning PCMHs may lead to reduced costs among the most complex and costly patients.

引用

页码：78 / 89

页数：12

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