|Title||A Randomized, Controlled Trial of a Shared Panel Management Program for Small Practices.|
|Publication Type||Journal Article|
|Year of Publication||2016|
|Authors||Bishop TF, Ryan AM, Chen MA, Mendelsohn J, Gottlieb D, Shih S, Desai P, Wolff EA, Casalino LP|
|Journal||Health Serv Res|
|Date Published||2016 Oct|
|Keywords||Chronic Disease, Disease Management, Electronic Health Records, Female, Group Practice, Healthcare Disparities, Humans, Male, Middle Aged, Quality Improvement, Reminder Systems|
OBJECTIVES: To determine whether a shared panel management program was effective at improving quality of care for patients with uncontrolled chronic disease.
DATA SOURCES: Data were extracted from electronic health records.
STUDY DESIGN: Randomized controlled trial of a panel management program initiated by New York City Department of Health and Mental Hygiene. Patients from 20 practices with an uncontrolled chronic disease and a lapse in care were assigned to the intervention (a phone call requesting that the patient schedule a physician appointment) or usual care. Outcomes were visits to physician practices, body mass index measurement, blood pressure measurement and control, use of antithrombotics, and low-density lipoprotein measurement and control.
PRINCIPAL FINDINGS: Panel managers were able to successfully speak with 1,676 patients (14.7 percent of the intervention group). There were no significant differences in outcomes between the intervention and usual care groups. Successfully contacted patients were more likely to have an office visit within 1 year of randomization (45.6 percent [95 percent CI: 22.8, 26.9] vs. 38.1 percent [95 percent CI: 36.8, 39.3]) and more likely to be on antithrombotics (24.4 percent [95 percent CI: 17.7, 31.0]) versus those in the usual care group (17.0 percent [95 percent CI: 13.9, 20.0]) but had no other difference in quality.
CONCLUSIONS: A shared, low-intensity panel management program run by a city health department did not improve quality of care for patients with chronic illnesses and lapses in care.
|Alternate Journal||Health Serv Res|
|PubMed Central ID||PMC5034212|
|Grant List||K01 HS018546 / HS / AHRQ HHS / United States |
K23 AG043499 / AG / NIA NIH HHS / United States
R18 HS018275 / HS / AHRQ HHS / United States