care models;
Medicaid;
primary care;
quality of care;
PREVENTIVE CARE;
ASSOCIATION;
D O I:
10.1097/JAC.0000000000000484
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:
In a federally qualified health center, we assess a novel primary care delivery model, advanced team-based care (aTBC), that embeds care team members in patient visits. Using a difference-in-differences research design, we measure visit intensity, compliance with preventive care recommendations, and health outcomes among patients in the aTBC model compared with patients in a traditional team-based delivery model. We find increases in receipt of some recommended preventive care and in visit intensity, but no change in health outcomes. The aTBC model may improve some dimensions of care quality for low-income, vulnerable populations.
机构:
Univ Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USAUniv Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USA
Bodenheimer, Thomas
;
Sinsky, Christine
论文数: 0引用数: 0
h-index: 0
机构:
Med Associates Clin & Hlth Plan, Dubuque, IA USA
Amer Med Assoc, Chicago, IL 60610 USAUniv Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USA
机构:
Harvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USAHarvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA
Farid, Monica
;
Tsugawa, Yusuke
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Los Angeles, David Geffen Sch Med, Div Gen Internal Med & Hlth Serv Res, Los Angeles, CA 90095 USA
Univ Calif Los Angeles, Dept Hlth Policy Management, Fielding Sch Publ Hlth, Los Angeles, CA USAHarvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA
Tsugawa, Yusuke
;
Jena, Anupam B.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA
Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA
NBER, Cambridge, MA 02138 USAHarvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA
机构:
Iora Hlth, Amer Twine Bldg,222,3rd St,Ste 3100, Cambridge, MA 02142 USA
Harvard Med Sch, Dept Med, Boston, MA USAIora Hlth, Amer Twine Bldg,222,3rd St,Ste 3100, Cambridge, MA 02142 USA
机构:
RAND Corp, Boston, MA 02116 USARAND Corp, Boston, MA 02116 USA
Friedberg, Mark W.
;
Reid, Rachel O.
论文数: 0引用数: 0
h-index: 0
机构:
RAND Corp, Boston, MA 02116 USARAND Corp, Boston, MA 02116 USA
Reid, Rachel O.
;
Timbie, Justin W.
论文数: 0引用数: 0
h-index: 0
机构:
RAND, Arlington, VA USARAND Corp, Boston, MA 02116 USA
Timbie, Justin W.
;
Setodji, Claude
论文数: 0引用数: 0
h-index: 0
机构:
RAND, Pittsburgh, PA USARAND Corp, Boston, MA 02116 USA
Setodji, Claude
;
Kofner, Aaron
论文数: 0引用数: 0
h-index: 0
机构:
RAND, Arlington, VA USARAND Corp, Boston, MA 02116 USA
Kofner, Aaron
;
Weidmer, Beverly
论文数: 0引用数: 0
h-index: 0
机构:
RAND, Santa Monica, CA USARAND Corp, Boston, MA 02116 USA
Weidmer, Beverly
;
Kahn, Katherine
论文数: 0引用数: 0
h-index: 0
机构:
RAND, Hlth Care Delivery Measurement & Evaluat, Santa Monica, CA USA
Univ Calif Los Angeles, Med, Los Angeles, CA USARAND Corp, Boston, MA 02116 USA
机构:
Univ Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USAUniv Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USA
Bodenheimer, Thomas
;
Sinsky, Christine
论文数: 0引用数: 0
h-index: 0
机构:
Med Associates Clin & Hlth Plan, Dubuque, IA USA
Amer Med Assoc, Chicago, IL 60610 USAUniv Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USA
机构:
Harvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USAHarvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA
Farid, Monica
;
Tsugawa, Yusuke
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Los Angeles, David Geffen Sch Med, Div Gen Internal Med & Hlth Serv Res, Los Angeles, CA 90095 USA
Univ Calif Los Angeles, Dept Hlth Policy Management, Fielding Sch Publ Hlth, Los Angeles, CA USAHarvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA
Tsugawa, Yusuke
;
Jena, Anupam B.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA
Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA
NBER, Cambridge, MA 02138 USAHarvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA
机构:
Iora Hlth, Amer Twine Bldg,222,3rd St,Ste 3100, Cambridge, MA 02142 USA
Harvard Med Sch, Dept Med, Boston, MA USAIora Hlth, Amer Twine Bldg,222,3rd St,Ste 3100, Cambridge, MA 02142 USA
机构:
RAND Corp, Boston, MA 02116 USARAND Corp, Boston, MA 02116 USA
Friedberg, Mark W.
;
Reid, Rachel O.
论文数: 0引用数: 0
h-index: 0
机构:
RAND Corp, Boston, MA 02116 USARAND Corp, Boston, MA 02116 USA
Reid, Rachel O.
;
Timbie, Justin W.
论文数: 0引用数: 0
h-index: 0
机构:
RAND, Arlington, VA USARAND Corp, Boston, MA 02116 USA
Timbie, Justin W.
;
Setodji, Claude
论文数: 0引用数: 0
h-index: 0
机构:
RAND, Pittsburgh, PA USARAND Corp, Boston, MA 02116 USA
Setodji, Claude
;
Kofner, Aaron
论文数: 0引用数: 0
h-index: 0
机构:
RAND, Arlington, VA USARAND Corp, Boston, MA 02116 USA
Kofner, Aaron
;
Weidmer, Beverly
论文数: 0引用数: 0
h-index: 0
机构:
RAND, Santa Monica, CA USARAND Corp, Boston, MA 02116 USA
Weidmer, Beverly
;
Kahn, Katherine
论文数: 0引用数: 0
h-index: 0
机构:
RAND, Hlth Care Delivery Measurement & Evaluat, Santa Monica, CA USA
Univ Calif Los Angeles, Med, Los Angeles, CA USARAND Corp, Boston, MA 02116 USA