Patient and Supporter Factors Affecting Engagement With Diabetes Telehealth
Family support with medication management and recent urgent self-management concerns are 2 novel factors, among others, that predict completion of diabetes telehealth calls.
Empiric Segmentation of High-risk Patients: A Structured Literature Review
Data-driven segmentation of high-risk patient populations may inform health system interventions, but results are dependent on the data sources and methods applied.
Which Patients Are Persistently High-Risk for Hospitalization?
Most patients in a large integrated healthcare system who were high-risk for hospitalization were at substantially lower risk within 2 years.
Trends in Primary Care Encounters Across Professional Roles in PCMH
A metric of primary care delivery by non–primary care provider clinicians demonstrated increasing trends in patient encounters by nurses and social workers and was responsive to patient-centered medical home implementation.
The Association Among Medical Home Readiness, Quality, and Care of Vulnerable Patients
The characteristics of patients who visit practices that are ready versus unready for the patient-centered medical home differ in important ways.
Measuring Patient-Centered Medical Home Access and Continuity in Clinics With Part-Time Clinicians
Commonly used measures of performance for assessing patient access do not reflect PCMH-encouraged strategies to improve access that may be preferentially used by part-time physicians.
The Patient-Centered Medical Home in the Veterans Health Administration
We describe the Veterans Health Administration's nationwide patient-centered medical home (PCMH) initiative and evaluate interim changes in PCMH-related patient care processes.
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