Literature DB >> 28726526

Integrated care coordination by an interprofessional team reduces emergency department visits and hospitalisations at an academic health centre.

Anne H Gaglioti1, Patrick Barlow2, Kate DuChene Thoma3, George R Bergus3.   

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.

Entities:  

Keywords:  Evaluation research; integration; interprofessional education; team-based care

Mesh:

Year:  2017        PMID: 28726526     DOI: 10.1080/13561820.2017.1329716

Source DB:  PubMed          Journal:  J Interprof Care        ISSN: 1356-1820            Impact factor:   2.338


  2 in total

1.  Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program.

Authors:  Robert Myers
Journal:  Ment Illn       Date:  2018-12-05

2.  The Checkpoint Program: Collaborative Care to Reduce the Reliance of Frequent Presenters on ED.

Authors:  Christine Baird; Yalchin Oytam; Khairunnessa Rahman; Marja Fornasari; Anita Sharma; Jinman Kim; Euijoon Ahn; Rod Hughes
Journal:  Int J Integr Care       Date:  2021-06-22       Impact factor: 5.120

  2 in total

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