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A Randomized, Controlled Trial of a Shared Panel Management Program for Small Practices.

Tara F Bishop1,2, Andrew M Ryan3, Melinda A Chen4

  • 1Division of Healthcare Policy and Economics, Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY. tlfernan@med.cornell.edu.

Health Services Research
|February 6, 2016
PubMed
Summary
This summary is machine-generated.

A low-intensity panel management program did not improve chronic disease care quality. While some contacted patients had more office visits and antithrombotic use, overall quality of care for uncontrolled chronic diseases remained unchanged.

Keywords:
Chronic disease managementdisparities in health carepanel managementpopulation managementpublic health

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Area of Science:

  • Public Health
  • Health Services Research
  • Chronic Disease Management

Background:

  • Effective management of patients with uncontrolled chronic diseases and lapses in care is crucial for improving health outcomes.
  • Panel management programs aim to re-engage patients and enhance the quality of care they receive.

Purpose of the Study:

  • To evaluate the effectiveness of a shared, low-intensity panel management program in improving the quality of care for patients with uncontrolled chronic diseases.

Main Methods:

  • A randomized controlled trial was conducted involving 20 practices.
  • Patients with uncontrolled chronic disease and a care lapse were assigned to either a panel management intervention (phone call to schedule an appointment) or usual care.
  • Outcomes included physician practice visits, BMI measurement, blood pressure control, antithrombotic use, and LDL control.

Main Results:

  • Panel managers successfully contacted 14.7% of the intervention group.
  • No significant differences in overall quality of care were observed between the intervention and usual care groups.
  • Successfully contacted patients showed a higher likelihood of office visits and antithrombotic use, but no other quality improvements.

Conclusions:

  • A low-intensity panel management program initiated by a city health department was not effective in improving the quality of care for patients with chronic illnesses and care gaps.
  • Further research may be needed to explore more intensive or targeted interventions for this patient population.