Healthcare Utilization by Glaucoma Patients in a Team Care Model. (17th November 2018)

• Record Type: Journal Article
• Authors: Damento, Gena M.; Winkler, Nelson S.; Hodge, David O.; Khanna, Sunil S.; Khanna, Cheryl L.
• Is Part Of: Seminars in ophthalmology. Volume 33:Number 7/8(2018)
• Page Start: 829
• Page End: 837
• Publication Date: 2018-11-17
• Subjects: Glaucoma -- collaborative care -- resource utilization -- shared care -- treatment model; Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; Eye -- Surgery -- Periodicals; 617.7005
• DOI: 10.1080/08820538.2018.1514059
• Languages: English
• ISSNs: 0882-0538

Abstract

ABSTRACT: Purpose : To determine the effect of a glaucoma team care model on resource utilization and efficiency in glaucoma management. Methods : Retrospective cohort study of 358 patients diagnosed and treated for glaucoma. Analysis included number of patient visits, diagnostic tests, and glaucoma procedures performed before (2005–2007) and after (2008–2010) implementation of a team care model in 2008. Patients not involved in the model served as controls. Results : Number of patient visits did not change significantly after model implementation ( p > .05). Diagnostic tests significantly increased in comprehensive ophthalmologist and glaucoma subspecialist groups 25 months after diagnosis ( p = .03 and p = .001). Procedures increased for glaucoma subspecialists but was not statistically significant ( p = .06). Optometrists used billing codes with significantly lower reimbursement than other providers ( p < .001). Conclusions : Team care model had neutral effect on patient visits and increased testing. Continued evaluation of this model is required to determine its effect on disease progression and outcomes.