Gateway to Think Tanks
来源类型 | Publication |
Patient Dismissal by Primary Care Practices (Journal Article) | |
Ann O’Malley; Kaylyn Swankoski; Deborah Peikes; Jesse Crosson; Nancy Duda; Timothy Day; and Shannon Heitkamp | |
发表日期 | 2017-07-01 |
出版者 | JAMA Internal Medicine, vol. 177, no. 7 |
出版年 | 2017 |
语种 | 英语 |
概述 | This research letter describes patient dismissal practices based on a survey of over 800 primary care practices.", |
摘要 | A team of Mathematica researchers reviewed data from a survey of 800 primary care practices and found that most of them—including practices participating in the Comprehensive Primary Care (CPC) initiative—dismissed an average of between one and 20 patients over a two-year period. The number of dismissed patients was proportional to the size of the practice. Common reasons for dismissing a patient included disruptive behavior, violating policies on chronic pain medicines and controlled substances, or repeatedly missing appointments. Notably, participating in CPC had no effect on whether patients were dismissed, and in some cases it made practices less likely to dismiss patients. These findings are especially relevant to patients, payers, and policymakers, because there is a perception that as insurers shift from volume-based to value-based reimbursements, physicians may consider this an incentive to limit their practice to those patients for whom they can readily demonstrate value in order to maximize revenue. |
URL | https://www.mathematica.org/our-publications-and-findings/publications/patient-dismissal-by-primary-care-practices-journal-article |
来源智库 | Mathematica Policy Research (United States) |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/488934 |
推荐引用方式 GB/T 7714 | Ann O’Malley,Kaylyn Swankoski,Deborah Peikes,et al. Patient Dismissal by Primary Care Practices (Journal Article). 2017. |
条目包含的文件 | 条目无相关文件。 |
除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。