Featured Research

from universities, journals, and other organizations

Hypertensive patients' use of specialty services changed with primary care resdesign

Date:
February 3, 2014
Source:
Group Health Research Institute
Summary:
Researchers studied how patients with treated hypertension used outpatient specialty care before, during, and after a primary-care redesign was spread system-wide. Patients with hypertension and few other conditions had 27-28 percent fewer specialty visits in each of the three years after redesign implementation started, compared to beforehand. Those with some other illnesses had 9 percent fewer specialty visits during medical home implementation and 5 percent fewer specialty visits during the following year.

Group Health studied how patients with treated hypertension used outpatient specialty care before, during, and after a primary-care redesign (the patient-centered medical home) was spread system-wide. David T. Liss, PhD, now a research assistant professor in medicine-general internal medicine and geriatrics at Northwestern University Feinberg School of Medicine, led the report in the Journal of General Internal Medicine.

"Redesigning care to a medical home seems to let primary-care teams do more, within their expertise, for their patients," Dr. Liss said. "Our results suggest this can avoid or prevent some specialty visits for patients with stable hypertension and a few co-occurring illnesses." He studied more than 36,000 patients with treated hypertension in Group Health's 26 medical centers.

Patients with hypertension and few other conditions had 27-28 percent fewer specialty visits in each of the three years after the medical home started being implemented, compared to beforehand, adjusting for potential confounders and including interaction effects. Those with some other illnesses had 9 percent fewer specialty visits during medical home implementation and 5 percent fewer specialty visits during the following year.

"In contrast, we found very different results for clinically complex patients burdened by multiple diseases in addition to hypertension," said Dr. Liss's coauthor Robert Reid, MD, PhD, a senior investigator at Group Health Research Institute, , and an adjunct professor at the University of Washington (UW) School of Public Health and Community Medicine. For those patients, specialty use was 3 percent and 5 percent higher, respectively, during the first and second years after the medical home was implemented.

"This suggests a need for more effective co-management and better 'handoffs' of complex patients by primary care teams and specialists in the 'medical neighborhood' that surrounds the medical home," Dr. Reid said. "We think new approaches to coordinating care between primary care teams and specialists should give priority to complex patients."

A patient-centered medical home is an increasingly common way to amplify the effects of good primary care: It's like having a family doctor who knows the patients and leads a team of professionals making the most of current knowledge and technology -- including e-mail and electronic health records -- to deliver first-rate, coordinated primary care and reach out to help patients stay healthy. Dr. Reid has published evaluations of Group Health's medical home implementation, linking it to emergency room use.


Story Source:

The above story is based on materials provided by Group Health Research Institute. Note: Materials may be edited for content and length.


Journal Reference:

  1. David T. Liss, Paul A. Fishman, Carolyn M. Rutter, David Grembowski, Tyler R. Ross, Robert J. Reid. Specialty Use Among Patients With Treated Hypertension in a Patient-Centered Medical Home. Journal of General Internal Medicine, 2014; DOI: 10.1007/s11606-014-2776-2

Cite This Page:

Group Health Research Institute. "Hypertensive patients' use of specialty services changed with primary care resdesign." ScienceDaily. ScienceDaily, 3 February 2014. <www.sciencedaily.com/releases/2014/02/140203155209.htm>.
Group Health Research Institute. (2014, February 3). Hypertensive patients' use of specialty services changed with primary care resdesign. ScienceDaily. Retrieved September 23, 2014 from www.sciencedaily.com/releases/2014/02/140203155209.htm
Group Health Research Institute. "Hypertensive patients' use of specialty services changed with primary care resdesign." ScienceDaily. www.sciencedaily.com/releases/2014/02/140203155209.htm (accessed September 23, 2014).

Share This



More Health & Medicine News

Tuesday, September 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Costs Keep Mounting

Ebola Costs Keep Mounting

Reuters - Business Video Online (Sep. 23, 2014) The WHO has warned up to 20,000 people could be infected with Ebola over the next few weeks. As Sonia Legg reports, the implications for the West African countries suffering from the disease are huge. Video provided by Reuters
Powered by NewsLook.com
Ebola Cases Could Reach 1.4 Million Within 4 Months

Ebola Cases Could Reach 1.4 Million Within 4 Months

Newsy (Sep. 23, 2014) Health officials warn that without further intervention, the number of Ebola cases in Liberia and Sierra Leone could reach 1.4 million by January. Video provided by Newsy
Powered by NewsLook.com
WHO: Ebola Cases to Triple in Weeks Without Drastic Action

WHO: Ebola Cases to Triple in Weeks Without Drastic Action

AFP (Sep. 23, 2014) The number of Ebola infections will triple to 20,000 by November, soaring by thousands every week if efforts to stop the outbreak are not stepped up radically, the WHO warned in a study on Tuesday. Duration: 01:01 Video provided by AFP
Powered by NewsLook.com
5 Ways Men Can Prevent Most Heart Attacks

5 Ways Men Can Prevent Most Heart Attacks

Newsy (Sep. 23, 2014) No surprise here: A recent study says men can reduce their risk of heart attack by maintaining a healthy lifestyle, which includes daily exercise. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins