The extent and improvement of patient complexity in referrals to hospital family physicians from community healthcare-related centers in Japan: a retrospective cohort study
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View abstract on PubMed
Summary
This summary is machine-generated.Hospital family physicians effectively manage complex patient cases, significantly reducing patient complexity scores across all assessed domains. This demonstrates improved health and well-being, social environment, literacy, and service coordination.
Area Of Science
- Family Medicine
- Healthcare Management
- Patient Complexity Assessment
Background
- Hospital family physicians are recognized for managing complex patient issues.
- This study assessed the complexity of patients referred to hospital family physicians from community centers.
Purpose Of The Study
- To determine the complexity level of patients referred to hospital family physicians.
- To evaluate the impact of team-based care, including hospital family physicians, on patient complexity.
Main Methods
- Retrospective cohort analysis of patients referred between 2020-2023.
- Utilized the patient-centered assessment method (PCAM) to quantify complexity before and after intervention.
- Paired-sample t-tests and Hedges' g were used for statistical comparison.
Main Results
- Mean PCAM scores significantly decreased from 36.9 to 23.7 post-intervention (P < .001).
- Significant improvements were observed across all PCAM domains: health/well-being, social environment, literacy/communication, and service coordination.
- A large effect size (Hedges' g = 2.54) indicated substantial reduction in overall patient complexity.
Conclusions
- Hospital family physicians in Japan manage highly complex patients.
- Team-based care involving hospital family physicians significantly improves patient outcomes across multiple domains.
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