Enhancing Value-Based Care With a Walk-in Clinic: A Primary Care Provider Intervention to Decrease Low Acuity Emergency Department Overutilization.
emergency department utilization
family medicine
health economics outcomes research
health system research
healthcare utilization
pcp
pcp intervention
primary care medicine
value based care
walk in clinic
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
11 Feb 2021
11 Feb 2021
Historique:
entrez:
17
3
2021
pubmed:
18
3
2021
medline:
18
3
2021
Statut:
epublish
Résumé
Background Emergency department overutilization is a known contributor to the high per-capita healthcare cost in the United States. There is a knowledge gap regarding the substitution effect of walk-in clinic availability in primary care provider (PCP) offices and emergency department utilization (EDU). This study evaluates associations between PCP availability and EDU and analyzes the potential cost savings for health systems. Methods A retrospective cohort analysis compared low acuity EDU rates in established patients at a family medicine residency's PCP office before and after walk-in clinic implementation. The practice had 12 providers, 12 residents, and a patient panel of approximately 7,000-8,000. Inclusion criteria were met if patients were: (1) established with the PCP office, (2) had a low acuity emergency department (ED) visit (emergency index score level 4 or 5)
Identifiants
pubmed: 33728217
doi: 10.7759/cureus.13284
pmc: PMC7955766
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e13284Informations de copyright
Copyright © 2021, Baughman et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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