大象视频

U.S. flag

SHARE:

FacebookXEmail AHRQPrint

Search All Research Studies

 

大象视频Research Studies Date

Topics

大象视频Research Studies

Sign up:

Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.

Results

1 to 11 of 11 Research Studies Displayed
Sax DR, Kene MV, Huang J
Downstream emergency department and hospital utilization comparably low following in-person versus telemedicine primary care for high-risk conditions.
Research examined 258,958 primary care visits across an integrated healthcare system during 2022, comparing outcomes between telemedicine and in-person appointments for acute conditions. The study analyzed cardiac, gastrointestinal, neurologic, musculoskeletal, and head and neck conditions. Telemedicine comprised 57.7% of visits, with telephone visits offering the quickest access. Emergency department utilization remained consistently low across all visit types, though slightly higher for telephone compared to video visits. Hospitalization rates were minimal across all modalities. The findings suggest telemedicine provides a viable option for acute care delivery.
AHRQ-funded; HS025189.
Citation: Sax DR, Kene MV, Huang J . Downstream emergency department and hospital utilization comparably low following in-person versus telemedicine primary care for high-risk conditions. J Gen Intern Med 2024 Oct; 39(13):2446-53. doi: 10.1007/s11606-024-08885-6..
Keywords: Emergency Department, Hospitalization, Telehealth, Health Information Technology (HIT), Healthcare Utilization, Primary Care
Bronstein JM, Huang L, Shelley JP
Primary care visits and ambulatory care sensitive diabetes hospitalizations among adult Alabama Medicaid beneficiaries.
This retrospective cohort study described patterns of care use for Alabama Medicaid adult beneficiaries with diabetes and the association of primary care utilization and ambulatory care sensitive (ACS) diabetes hospitalizations. Alabama Medicaid claims data from January 2010 to April 2018 for 52, 549 covered adults aged 19-64 with diabetes was analyzed. Individuals were categorized by demographics, comorbidities, and health care use. Characteristics of the cohort with and without ACS hospitalization was reported. One third of the cohort had at least one ACS diabetes hospitalization over the observed periods. Hospital users tended to have multiple ACS hospitalizations as well as more comorbidities and pharmaceutical and other types of care use than those with no ACS hospitalizations. Having a primary care visit in one year was significantly associated with a reduced likelihood of ACS hospitalization in the following year.
AHRQ-funded; HS023009.
Citation: Bronstein JM, Huang L, Shelley JP . Primary care visits and ambulatory care sensitive diabetes hospitalizations among adult Alabama Medicaid beneficiaries. Prim Care Diabetes 2022 Feb;16(1):116-21. doi: 10.1016/j.pcd.2021.10.005..
Keywords: Diabetes, Hospitalization, Medicaid, Primary Care
Stevens JP, Nyweide DJ, Maresh S
Comparison of hospital resource use and outcomes among hospitalists, primary care physicians, and other generalists.
The purpose of this study was to examine differences in the use of health care resources and outcomes among hospitalized patients cared for by hospitalists, their own primary care physicians (PCPs), or other generalists. The investigators found that a PCP's prior experience with a patient may be associated with inpatient use of resources and patient outcomes.
AHRQ-funded; HS024288.
Citation: Stevens JP, Nyweide DJ, Maresh S . Comparison of hospital resource use and outcomes among hospitalists, primary care physicians, and other generalists. JAMA Intern Med 2017 Dec;177(12):1781-87. doi: 10.1001/jamainternmed.2017.5824..
Keywords: Healthcare Utilization, Hospitalization, Outcomes, Primary Care
Edwards ST, Peterson K, Chan B
Effectiveness of intensive primary care interventions: a systematic review.
This study systematically reviewed the impact of intensive primary care programs on all-cause mortality, hospitalization, and emergency department use. The authors found that intensive primary care interventions demonstrated varying effectiveness in reducing hospitalizations, and noted there was limited evidence that these interventions were associated with changes in mortality.

AHRQ-funded; HS022981.
Citation: Edwards ST, Peterson K, Chan B . Effectiveness of intensive primary care interventions: a systematic review. J Gen Intern Med 2017 Dec;32(12):1377-86. doi: 10.1007/s11606-017-4174-z..
Keywords: Hospitalization, Mortality, Patient-Centered Outcomes Research, Primary Care
Haber SG, Wensky SG, McCall NT
Reducing inpatient hospital and emergency room utilization among nursing home residents.
This study examined the association among nursing home residents between strength of relationship with a primary care provider (PCP) and inpatient hospital and emergency room (ER) utilization. Both measures of strength of patient-provider relationships were associated with fewer inpatient admissions and ER visits, except regularity of PCP visits and ambulatory care sensitive conditions (ACSC) ER visits.
AHRQ-funded; HS000029.
Citation: Haber SG, Wensky SG, McCall NT . Reducing inpatient hospital and emergency room utilization among nursing home residents. J Aging Health 2017 Apr;29(3):510-30. doi: 10.1177/0898264316641074.
.
Keywords: Elderly, Emergency Department, Hospitalization, Nursing Homes, Primary Care
Michaelidis CI, Fine MJ, Lin CJ
The hidden societal cost of antibiotic resistance per antibiotic prescribed in the United States: an exploratory analysis.
This study estimated the hidden societal cost of antibiotic resistance per antibiotic prescribed in the United States. It concluded that each ambulatory antibiotic prescription is associated with a hidden societal cost of antibiotic resistance (SCAR) that substantially increases the cost of an antibiotic prescription in the United States. This finding raises concerns regarding the magnitude of misalignment between individual and societal antibiotic costs.
AHRQ-funded; HS024930.
Citation: Michaelidis CI, Fine MJ, Lin CJ . The hidden societal cost of antibiotic resistance per antibiotic prescribed in the United States: an exploratory analysis. BMC Infect Dis 2016 Nov 8;16(1):655. doi: 10.1186/s12879-016-1990-4.
.
Keywords: Medication, Primary Care, Hospitalization, Healthcare Costs, Ambulatory Care and Surgery
Domino ME, Jackson C, Beadles CA
Do primary care medical homes facilitate care transitions after psychiatric discharge for patients with multiple chronic conditions?
The purpose of this manuscript is to assess outpatient follow-up rates with primary care and mental health providers following psychiatric discharge by medical home enrollment and medical complexity. Hospitalized persons with multiple chronic conditions including serious mental illness enrolled in a medical home were more likely to receive timely outpatient follow-up with a primary care provider but not with a mental health specialist.
AHRQ-funded; HS000032; HS019659.
Citation: Domino ME, Jackson C, Beadles CA . Do primary care medical homes facilitate care transitions after psychiatric discharge for patients with multiple chronic conditions? Gen Hosp Psychiatry 2016 Mar-Apr;39:59-65. doi: 10.1016/j.genhosppsych.2015.11.002.
.
Keywords: Primary Care, Patient-Centered Healthcare, Behavioral Health, Hospitalization, Chronic Conditions
Kuo YF, Chen NW, Baillargeon J
Potentially preventable hospitalizations in Medicare patients with diabetes: a comparison of primary care provided by nurse practitioners versus physicians.
The researchers compared the rates of potentially preventable hospitalizations in older diabetic patients who received primary care from nurse practitioners (NPs) only versus those who received care from primary care physicians only. Using potentially preventable hospitalizations as a quality indicator, they found that primary care provided by NPs was at least comparable with that provided by generalist physicians.
AHRQ-funded; HS020642; HS022134.
Citation: Kuo YF, Chen NW, Baillargeon J . Potentially preventable hospitalizations in Medicare patients with diabetes: a comparison of primary care provided by nurse practitioners versus physicians. Med Care 2015 Sep;53(9):776-83. doi: 10.1097/mlr.0000000000000406..
Keywords: Hospitalization, Primary Care, Comparative Effectiveness, Diabetes
Jones CD, Vu MB, O'Donnell CM
A failure to communicate: a qualitative exploration of care coordination between hospitalists and primary care providers around patient hospitalizations.
The purpose of this study was to understand the challenges in coordination of care, as well as potential solutions, from the perspective of hospitalists and PCPs in North Carolina. Hospitalists and PCPs were found to encounter similar care coordination challenges, including (1) lack of time, (2) difficulty reaching other clinicians, and (3) lack of personal relationships with other clinicians.
AHRQ-funded; HS020940.
Citation: Jones CD, Vu MB, O'Donnell CM . A failure to communicate: a qualitative exploration of care coordination between hospitalists and primary care providers around patient hospitalizations. J Gen Intern Med 2015 Apr;30(4):417-24. doi: 10.1007/s11606-014-3056-x..
Keywords: Care Coordination, Communication, Hospital Discharge, Hospitalization, Primary Care
Basu J
大象视频Author: Basu J
Has access to care changed in minority communities? A study of preventable hospitalizations over time in selected States.
Basu assessed the changes in access to care in minority communities by examining the association between preventable hospitalization rates and racial/ethnic composition of the community during 1995-2005. Using HCUP data, the results indicated increases in barriers faced by minority adults in accessing primary care over time, with no similar evidence for the elderly subgroup.
AHRQ-authored.
Citation: Basu J . Has access to care changed in minority communities? A study of preventable hospitalizations over time in selected States. J Ambul Care Manage 2014 Oct-Dec;37(4):314-30. doi: 10.1097/jac.0000000000000024.
.
Keywords: Access to Care, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Primary Care, Racial and Ethnic Minorities
Basu J, Mobley LR, Thumula V
大象视频Author: Basu J
The small area predictors of ambulatory care sensitive hospitalizations: a comparison of changes over time.
The investigators examined the predictors of ambulatory care sensitive conditions (ACSCs) admissions in small geographic areas in two cross-sections spanning an 11-year time interval (1995-2005). They found that ACSC admission rates were inversely related to the availability of local primary care physicians, and managed care was associated with declines in ACSC admissions for the elderly. Additionally, minorities, aged elderly, and percent under federal poverty level were found to be associated with higher ACSC rates. They concluded that improvements in socioeconomic conditions and geographic access may have helped improve the quality of primary care received by the elderly over the last decade, particularly among some minority groups.
AHRQ-authored.
Citation: Basu J, Mobley LR, Thumula V . The small area predictors of ambulatory care sensitive hospitalizations: a comparison of changes over time. Soc Work Public Health 2014;29(2):176-88. doi: 10.1080/19371918.2013.776316.
.
Keywords: Access to Care, Hospitalization, Ambulatory Care and Surgery, Primary Care

Related Content

Research Findings & Reports