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Effects of Advanced Team-Based Care on Care Processes and Health Measures in a Federally Qualified Health Center
Betsy Q Cliff1, Natalie Siegel, Jeffrey Panzer
1Department of Public Health Sciences, University of Chicago, Chicago, Illinois (Dr Cliff); Division of Health Policy and Administration, University of Illinois Chicago School of Public Health, Chicago (Mss Siegel and Edmiston and Dr Stiehl); and Tapestry 360 Health, Chicago, Illinois (Drs Panzer and Patel and Ms Deis).
Abstract:
In a federally qualified health center, we assess a novel primary care delivery model, advanced team-based care (aTBC), that embeds care team members in patient visits. Using a difference-in-differences research design, we measure visit intensity, compliance with preventive care recommendations, and health outcomes among patients in the aTBC model compared with patients in a traditional team-based delivery model. We find increases in receipt of some recommended preventive care and in visit intensity, but no change in health outcomes. The aTBC model may improve some dimensions of care quality for low-income, vulnerable populations.
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