Effects of Advanced Team-Based Care on Care Processes and Health Measures in a Federally Qualified Health Center

被引:1
作者
Cliff, Betsy Q. [1 ,4 ]
Siegel, Natalie [2 ]
Panzer, Jeffrey [3 ]
Deis, Emily [3 ]
Patel, Aesha [3 ]
Edmiston, Chloe [2 ]
Stiehl, Emily [2 ]
机构
[1] Univ Chicago, Dept Publ Hlth Sci, Chicago, IL 60637 USA
[2] Univ Illinois, Sch Publ Hlth, Div Hlth Policy & Adm, Chicago, IL USA
[3] Tapestry 360 Hlth, Chicago, IL USA
[4] Univ Chicago, Publ Hlth Sci, Div Biol Sci, 5841 S Maryland Ave, Chicago, IL 60637 USA
关键词
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.
引用
收藏
页码:33 / 42
页数:10
相关论文
共 29 条
[1]   From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider [J].
Bodenheimer, Thomas ;
Sinsky, Christine .
ANNALS OF FAMILY MEDICINE, 2014, 12 (06) :573-576
[2]   Revisiting Relational Coordination: A Systematic Review [J].
Bolton, Rendelle ;
Logan, Caroline ;
Gittell, Jody Hoffer .
JOURNAL OF APPLIED BEHAVIORAL SCIENCE, 2021, 57 (03) :290-322
[3]   The Social Determinants of Chronic Disease [J].
Cockerham, William C. ;
Hamby, Bryant W. ;
Oates, Gabriela R. .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2017, 52 (01) :S5-S12
[4]   The Self-Sustainability of Federally Qualified Health Centers [J].
Davlyatov, Ganisher ;
Hiller, Sidney ;
Cendoma, Philip ;
Borkowski, Nancy .
JOURNAL OF AMBULATORY CARE MANAGEMENT, 2023, 46 (01) :12-19
[5]   Receipt of preventive care among adults: Insurance status and usual source of care [J].
DeVoe, JE ;
Fryer, GE ;
Phillips, R ;
Green, L .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93 (05) :786-791
[6]   Comorbidity measures for use with administrative data [J].
Elixhauser, A ;
Steiner, C ;
Harris, DR ;
Coffey, RN .
MEDICAL CARE, 1998, 36 (01) :8-27
[7]   Assessment of Care Handoffs Among Hospitalist Physicians and 30-Day Mortality in Hospitalized Medicare Beneficiaries [J].
Farid, Monica ;
Tsugawa, Yusuke ;
Jena, Anupam B. .
JAMA NETWORK OPEN, 2021, 4 (03)
[8]   Learning to Fly Building De Novo Medical Home Practices to Improve Experience, Outcomes, and Affordability [J].
Fernandopulle, Rushika .
JOURNAL OF AMBULATORY CARE MANAGEMENT, 2013, 36 (02) :121-125
[9]  
Fiscella K, 2017, JT COMM J QUAL PATIE, V43, P361, DOI 10.1016/j.jcjq.2017.03.009
[10]   Federally Qualified Health Center Clinicians And Staff Increasingly Dissatisfied With Workplace Conditions [J].
Friedberg, Mark W. ;
Reid, Rachel O. ;
Timbie, Justin W. ;
Setodji, Claude ;
Kofner, Aaron ;
Weidmer, Beverly ;
Kahn, Katherine .
HEALTH AFFAIRS, 2017, 36 (08) :1469-1475