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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.
URLhttps://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.
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