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High-Risk Patient Experiences Associated With an Intensive Primary Care Management Program in the Veterans Health Administration.

Schuttner L, Guo R, Wong E, Jimenez E, Klein M, Roy S, Rosland AM, Chang ET. High-Risk Patient Experiences Associated With an Intensive Primary Care Management Program in the Veterans Health Administration. The Journal of ambulatory care management. 2023 Jan 1; 46(1):45-53.

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Abstract:

Intensive management programs may improve health care experiences among high-risk and complex patients. We assessed patient experience among (1) prior enrollees (n = 59) of an intensive management program (2014-2018); (2) nonenrollees (n = 356) at program sites; and (3) nonprogram site patients (n = 728), using a patient survey based on the Consumer Assessment of Healthcare Providers and Systems in 2019. Outcomes included patient ratings of patient-centered care; overall health care experience; and satisfaction with their usual outpatient care provider. In multivariate models, enrollees were more satisfied with their current provider versus nonenrollees within program sites (adjusted odds ratio 2.36; 95% confidence interval 1.15-4.85).




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