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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Determining Patient Panel Size in Primary Care: A Meta-Narrative Review.

Abd Moain Abu Dabrh1, Wigdan H Farah2, Heidi M McLeod1

  • 1Mayo Clinic, Jacksonville, FL, USA.

Journal of Primary Care & Community Health
|February 20, 2025
PubMed
Summary
This summary is machine-generated.

Determining the ideal patient panel size (PPS) in primary care is complex. Smaller panels correlate with better patient satisfaction and continuity of care, but clinical outcomes show minimal impact.

Keywords:
access to careambulatory carecommunity-based interventionspractice managementprimary care

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Area of Science:

  • Primary Care Medicine
  • Health Services Research
  • Healthcare Management

Background:

  • The optimal patient panel size (PPS) in primary care settings is not well-defined.
  • Factors influencing PPS and its impact on patient outcomes require further investigation.

Purpose of the Study:

  • To conduct a meta-narrative review evaluating factors that influence patient panel size (PPS).
  • To assess the association between PPS and various patient outcomes, including clinical, process, and utilization measures.

Main Methods:

  • A comprehensive meta-narrative literature review was performed.
  • Searched electronic databases from inception through December 2023 for original studies.
  • Included 48 studies reporting on PPS determinants and related outcomes.

Main Results:

  • Identified 7 key factors influencing PPS, including patient demographics (age, sex, comorbidities) and practice characteristics (type, structure).
  • Smaller panels were linked to improved patient satisfaction, continuity of care, and health promotion.
  • Clinical outcomes, resource utilization, and costs showed minimal association with PPS.
  • Female clinicians and community-based centers often managed smaller panels, serving diverse patient populations.

Conclusions:

  • The ideal PPS is multifactorial, influenced by practice setting, patient demographics, and clinician attributes.
  • Patient-reported outcomes are more strongly associated with PPS than practice-related factors.
  • Primary care practices should customize panel sizes based on patient populations and ensure robust infrastructure for optimal, patient-centered care delivery.