Matches in SemOpenAlex for { <https://semopenalex.org/work/W2002172843> ?p ?o ?g. }
Showing items 1 to 86 of
86
with 100 items per page.
- W2002172843 abstract "Heather Klusaritz, PhD, MSWWhile the patient-centered medical home (PCMH) continues to gain momentum as a transformative primary care delivery model, the impact on utilization patterns between primary and specialty care providers is not well understood. Ideally, patients receiving primary care in a PCMH would shift utilization from outpatient specialty to primary care providers for medical needs other than care of complex or rare conditions. Liss et al. examined specialty care utilization of hypertensive patients in an integrated care system undergoing PCMH practice transformation.1 They found decreased specialty care utilization following PCMH transformation for all but the highest morbidity patient groups. These findings offer an important first step in understanding the interplay between primary and specialty care utilization in healthcare systems adopting the PCMH model. However, the study population was almost entirely insured through commercial plans or Medicare, with only 1.3 % insured through Medicaid or state-subsidized insurance.Utilization patterns of Medicaid patient populations may not be as sensitive to the PCMH care model. Medicaid patients face a greater burden of access barriers and life stressors, potentially inhibiting engagement with systems of care. Further, practices that primarily serve a Medicaid population face more complex psychosocial demands that may drain energy away from PCMH activities. Finally, research suggests different care preferences for Medicaid populations; patients with low socioeconomic status may preferentially seek hospital-based specialist care over ambulatory care due to perceptions about quality of care.2 Given that Medicaid patients already have limited access to specialists,3,4 patients from these populations may also be resistant to efforts shifting them away from specialty care related to historical concerns about denied access and further marginalization. The process of PCMH transformation in practices with high Medicaid rates will need to be sensitive to historical factors shaping patient care utilization preferences when shifting care from specialists where appropriate, and focus efforts on trust-building with at-risk populations. Future research studying the impact of PCMH transformation on specialty service utilization will need to focus further on potential differential effects in Medicaid patient populations." @default.
- W2002172843 created "2016-06-24" @default.
- W2002172843 creator A5018295642 @default.
- W2002172843 creator A5064599666 @default.
- W2002172843 creator A5070413539 @default.
- W2002172843 date "2014-03-20" @default.
- W2002172843 modified "2023-10-18" @default.
- W2002172843 title "Capsule Commentary on Liss et al., Specialty Use Among Patients with Treated Hypertension in a Patient-Centered Medical Home" @default.
- W2002172843 cites W2084720889 @default.
- W2002172843 cites W2086757636 @default.
- W2002172843 cites W2089608902 @default.
- W2002172843 cites W2091720548 @default.
- W2002172843 doi "https://doi.org/10.1007/s11606-014-2824-y" @default.
- W2002172843 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4000335" @default.
- W2002172843 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24647723" @default.
- W2002172843 hasPublicationYear "2014" @default.
- W2002172843 type Work @default.
- W2002172843 sameAs 2002172843 @default.
- W2002172843 citedByCount "0" @default.
- W2002172843 crossrefType "journal-article" @default.
- W2002172843 hasAuthorship W2002172843A5018295642 @default.
- W2002172843 hasAuthorship W2002172843A5064599666 @default.
- W2002172843 hasAuthorship W2002172843A5070413539 @default.
- W2002172843 hasBestOaLocation W20021728431 @default.
- W2002172843 hasConcept C118552586 @default.
- W2002172843 hasConcept C124306116 @default.
- W2002172843 hasConcept C150966472 @default.
- W2002172843 hasConcept C159110408 @default.
- W2002172843 hasConcept C160735492 @default.
- W2002172843 hasConcept C162324750 @default.
- W2002172843 hasConcept C20387591 @default.
- W2002172843 hasConcept C2776534028 @default.
- W2002172843 hasConcept C2778804116 @default.
- W2002172843 hasConcept C2781158071 @default.
- W2002172843 hasConcept C2908647359 @default.
- W2002172843 hasConcept C2984752397 @default.
- W2002172843 hasConcept C50522688 @default.
- W2002172843 hasConcept C512399662 @default.
- W2002172843 hasConcept C71924100 @default.
- W2002172843 hasConcept C99454951 @default.
- W2002172843 hasConceptScore W2002172843C118552586 @default.
- W2002172843 hasConceptScore W2002172843C124306116 @default.
- W2002172843 hasConceptScore W2002172843C150966472 @default.
- W2002172843 hasConceptScore W2002172843C159110408 @default.
- W2002172843 hasConceptScore W2002172843C160735492 @default.
- W2002172843 hasConceptScore W2002172843C162324750 @default.
- W2002172843 hasConceptScore W2002172843C20387591 @default.
- W2002172843 hasConceptScore W2002172843C2776534028 @default.
- W2002172843 hasConceptScore W2002172843C2778804116 @default.
- W2002172843 hasConceptScore W2002172843C2781158071 @default.
- W2002172843 hasConceptScore W2002172843C2908647359 @default.
- W2002172843 hasConceptScore W2002172843C2984752397 @default.
- W2002172843 hasConceptScore W2002172843C50522688 @default.
- W2002172843 hasConceptScore W2002172843C512399662 @default.
- W2002172843 hasConceptScore W2002172843C71924100 @default.
- W2002172843 hasConceptScore W2002172843C99454951 @default.
- W2002172843 hasLocation W20021728431 @default.
- W2002172843 hasLocation W20021728432 @default.
- W2002172843 hasLocation W20021728433 @default.
- W2002172843 hasLocation W20021728434 @default.
- W2002172843 hasOpenAccess W2002172843 @default.
- W2002172843 hasPrimaryLocation W20021728431 @default.
- W2002172843 hasRelatedWork W1564902840 @default.
- W2002172843 hasRelatedWork W1663287886 @default.
- W2002172843 hasRelatedWork W19125807 @default.
- W2002172843 hasRelatedWork W1988663188 @default.
- W2002172843 hasRelatedWork W2119746177 @default.
- W2002172843 hasRelatedWork W2127490462 @default.
- W2002172843 hasRelatedWork W2324162801 @default.
- W2002172843 hasRelatedWork W2331203585 @default.
- W2002172843 hasRelatedWork W2400462009 @default.
- W2002172843 hasRelatedWork W2414365649 @default.
- W2002172843 hasRelatedWork W2416420920 @default.
- W2002172843 hasRelatedWork W2427799627 @default.
- W2002172843 hasRelatedWork W2519338386 @default.
- W2002172843 hasRelatedWork W2549973789 @default.
- W2002172843 hasRelatedWork W2592151059 @default.
- W2002172843 hasRelatedWork W2621831235 @default.
- W2002172843 hasRelatedWork W2623552307 @default.
- W2002172843 hasRelatedWork W2790378924 @default.
- W2002172843 hasRelatedWork W3003256339 @default.
- W2002172843 hasRelatedWork W3170175859 @default.
- W2002172843 isParatext "false" @default.
- W2002172843 isRetracted "false" @default.
- W2002172843 magId "2002172843" @default.
- W2002172843 workType "article" @default.