The patient-centered medical home (PCMH) has increasingly received attention as a model of care to potentially remedy the cost and quality problems that confront the US health care system, including and especially ambulatory care-related issues. This study examined the association between physician practices' PCMH capacity and 3 indicators of ambulatory care utilization: (1) emergency department utilization, (2) ambulatory care sensitive hospitalization rate, and (3) 30-day all-cause readmission rate. Results show that overall PCMH capacity is associated with lower rates, and technical aspects of the PCMH in particular were associated with lower utilization rates while interpersonal capabilities were not.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1177/1062860616677319 | DOI Listing |
J Gen Fam Med
January 2025
Department of Pediatrics Tsugaruhoken Medical COOP Kensei Hospital Hirosaki Aomori Japan.
Background: Studies on the accuracy of point-of-care (POC) testing using capillary samples are scarce. Therefore, this study aimed to assess the analytical accuracy of POC testing for white blood cell (WBC) and C-reactive protein (CRP) using capillary samples compared with conventional central laboratory testing using venous samples in a pediatric ambulatory care setting.
Methods: This was a retrospective study including patients younger than 18 years who underwent concurrent WBC and CRP evaluations via capillary and subsequent venous sampling within a 2-h window.
Importance: Among older adults with ischemic heart disease, participation in traditional ambulatory cardiac rehabilitation (CR) remains low. While mobile health CR (mHealth-CR) provides a novel opportunity to deliver care, age-specific impairments to technology use may limit uptake, and efficacy data are currently lacking.
Objective: To test whether mHealth-CR improves functional capacity in older adults.
PLoS One
January 2025
Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, Northern Ireland.
Introduction: Given the importance of GP care to the public's health, it is important that we understand how patterns of service use change as levels of investment change. This study investigated GP use in Britain in conjunction with use of outpatient services during a period of investment and during a period of austerity.
Method: The study used data from the British Household Panel Survey (BHPS) that included service use, morbidity (as an indicator of need) and socio-demographic characteristics (e.
Prog Biomed Eng (Bristol)
January 2025
Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
With increasing age, motor performance declines. This decline is associated with less favorable health outcomes such as impaired activities of daily living, reduced quality of life, or increased mortality. Through regular assessment of motor performance, changes over time can be monitored, and targeted therapeutic programs and interventions may be informed.
View Article and Find Full Text PDFNurs Manage
January 2025
At Boston Children's Hospital in Boston, Mass., Kathy Morgan-Gorman is senior nursing director, Nursing and Patient Care Operations, Ambulatory Medicine Programs; Judith A. Vessey is a nurse scientist, Medical, Surgical, and Behavioral Health Nursing Programs; and Patricia Pratt is senior vice president and associate chief nurse, Medical, Surgical, and Behavioral Health Nursing Programs.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!