High-Risk Patient Experiences Associated With an Intensive Primary Care Management Program in the Veterans Health Administration. Issue 1 (27th January 2023)

• Record Type: Journal Article
• Authors: Schuttner, Linnaea; Guo, Rong; Wong, Edwin; Jimenez, Elvira; Klein, Melissa; Roy, Sudip; Rosland, Ann-Marie; Chang, Evelyn T.
• Is Part Of: Journal of ambulatory care management. Volume 46:Issue 1(2023)
• Page Start: 45
• Page End: 53
• Publication Date: 2023-01-27
• Subjects: comprehensive health care -- delivery of health care -- patient care management -- patient care teams -- patient satisfaction -- primary health care -- program evaluation -- veterans; Ambulatory medical care -- Administration -- Periodicals; Ambulatory medical care -- United States -- Administration -- Periodicals; Community health services -- Administration -- Periodicals; Community health services -- United States -- Administration -- Periodicals; Health planning -- Periodicals; Health planning -- United States -- Periodicals; 362.12
• DOI: 10.1097/JAC.0000000000000428
• Languages: English
• ISSNs: 0148-9917

Abstract

Abstract : Intensive management programs may improve health care experiences among high-risk and complex patients. We assessed patient experience among (1) prior enrollees (n = 59) of an intensive management program (2014-2018); (2) nonenrollees (n = 356) at program sites; and (3) nonprogram site patients (n = 728), using a patient survey based on the Consumer Assessment of Healthcare Providers and Systems in 2019. Outcomes included patient ratings of patient-centered care; overall health care experience; and satisfaction with their usual outpatient care provider. In multivariate models, enrollees were more satisfied with their current provider versus nonenrollees within program sites (adjusted odds ratio 2.36; 95% confidence interval 1.15-4.85).