Journal article
Integrated care coordination by an interprofessional team reduces emergency department visits and hospitalisations at an academic health centre
Journal of interprofessional care, Vol.31(5), pp.557-565
09/03/2017
DOI: 10.1080/13561820.2017.1329716
PMID: 28726526
Abstract
People with chronic behavioural and physical health conditions have higher healthcare costs and mortality rates than patients with chronic physical conditions alone. As a result, there has been promotion of integrated care for this group. It is important to train primary care residents to practice in integrated models of care with interprofessional teams and to evaluate the effectiveness of integrated care models to promote high-quality care for this at-risk group. We implemented an integrated, interprofessional care management programme for adults with chronic mental and physical health needs as part of a curriculum for family medicine and family medicine psychiatry residents. We then evaluated the clinical effectiveness of this programme by describing participants' healthcare utilisation patterns pre- and post-enrolment. Patients enrolled in the programme were approximately 60-70% less likely to utilise the emergency room and 50% less likely to be admitted to the hospital after enrolment in the programme compared to before enrolment. The odds of individual attendance at outpatient primary care and mental health visits improved after enrolment. In the context of the implementation of integrated behavioural and physical healthcare in primary care, this interprofessional care management programme reduced emergency department utilisation and hospitalisations while improving utilisation of primary care and psychiatry outpatient care. Further studies should focus on replication of this model to further discern the model's cost-savings and health promotion effects.
Details
- Title: Subtitle
- Integrated care coordination by an interprofessional team reduces emergency department visits and hospitalisations at an academic health centre
- Creators
- Anne H Gaglioti - Department of Family Medicine, National Center for Primary Care, Morehouse School of MedicinePatrick Barlow - General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of MedicineKate DuChene Thoma - Department of Family Medicine, University of Iowa Carver College of MedicineGeorge R Bergus - Department of Family Medicine, University of Iowa Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- Journal of interprofessional care, Vol.31(5), pp.557-565
- Publisher
- Taylor & Francis
- DOI
- 10.1080/13561820.2017.1329716
- PMID
- 28726526
- ISSN
- 1356-1820
- eISSN
- 1469-9567
- Grant note
- HRSA-11-156 / Health Resources and Services Administration (10.13039/100000102)
- Language
- English
- Date published
- 09/03/2017
- Academic Unit
- Physician Assistant Studies; Psychiatry; ICTS; Family and Community Medicine; Center for Social Science Innovation; Office of Consultation and Research in Medical Education; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984094506402771
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