Outcomes that Matter: High-Needs Patients' and Primary Care Leaders' Perspectives on an Intensive Primary Care Pilot.
Michelle S WongTana M LugerMarian L KatzSusan E StockdaleNate L EwigmanJeffrey L JacksonDonna M ZulmanSteven M AschMichael K OngEvelyn T ChangPublished in: Journal of general internal medicine (2021)
Patients and primary care facility leaders report benefits for high-needs patients from IPC interventions that translated into perceived improvements in healthcare, health behaviors, and physical and mental health status. Most program evaluations focus on cost and utilization, which may be less amenable to change given this cohort's numerous comorbid health conditions and complex social circumstances. Future IPC program evaluations should additionally examine IPC's effects on quality of care, patient satisfaction, quality of life, and patient health behaviors other than utilization (e.g., engagement, self-efficacy).
Keyphrases
- healthcare
- primary care
- end stage renal disease
- mental health
- newly diagnosed
- chronic kidney disease
- ejection fraction
- public health
- peritoneal dialysis
- physical activity
- quality improvement
- prognostic factors
- depressive symptoms
- randomized controlled trial
- clinical trial
- palliative care
- metabolic syndrome
- patient reported outcomes
- type diabetes
- risk assessment
- adipose tissue
- skeletal muscle
- weight loss
- pain management
- social support
- chronic pain
- study protocol