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Lower cost, higher quality primary care practices are distinguished by six attributes

Date:
November 16, 2017
Source:
American Academy of Family Physicians
Summary:
Six attributes of primary care delivery are associated with high value, according to a new study: decision support for evidence-based medicine, risk-stratified care management, careful selection of specialists, coordination of care, standing orders and protocols, and balanced physician compensation.
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Six attributes of primary care delivery are associated with high value, according to a new study: decision support for evidence-based medicine, risk-stratified care management, careful selection of specialists, coordination of care, standing orders and protocols, and balanced physician compensation.

These findings are the result of a mixed methods study of diverse primary care practices that are well positioned for the shift toward medical reimbursement based on quality and efficient resource use rather than volume. Thus, researchers sought to identify care delivery attributes associated with value as defined by payers. They analyzed commercial health insurance claims data from 2009 to 2011 for more than 40 million PPO patients and 53,000 primary care practice sites, excluding sites operated by large national health care organizations subject to population-based payment.

The six statistically significant attributes relate to three themes: the need for "care traffic control" to help patients with complex conditions navigate the fragmented US health care system (risk-stratified care management, careful selection of specialists, and coordination of care), the need for tools to ease the cognitive burden of physicians and staff (decision support for evidence-based medicine and standing orders and protocols), and the importance of reimbursement based on value rather than volume (balanced compensation).

According to the authors, awareness of care delivery attributes associated with high value may help physicians respond successfully to incentives from Medicare and private payers intended to lower health care spending and improve quality of care.


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Materials provided by American Academy of Family Physicians. Note: Content may be edited for style and length.


Journal Reference:

  1. Melora Simon, Niteesh K. Choudhry, Jim Frankfort, David Margolius, Julia Murphy, Luis Paita, Thomas Wang, Arnold Milstein. Exploring Attributes of High-Value Primary Care. The Annals of Family Medicine, 2017; 15 (6): 529 DOI: 10.1370/afm.2153

Cite This Page:

American Academy of Family Physicians. "Lower cost, higher quality primary care practices are distinguished by six attributes." ScienceDaily. ScienceDaily, 16 November 2017. <www.sciencedaily.com/releases/2017/11/171116090105.htm>.
American Academy of Family Physicians. (2017, November 16). Lower cost, higher quality primary care practices are distinguished by six attributes. ScienceDaily. Retrieved July 15, 2024 from www.sciencedaily.com/releases/2017/11/171116090105.htm
American Academy of Family Physicians. "Lower cost, higher quality primary care practices are distinguished by six attributes." ScienceDaily. www.sciencedaily.com/releases/2017/11/171116090105.htm (accessed July 15, 2024).

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