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A Qualitative Implementation Study to Improve Medicare Annual Wellness Visits
Joanne E Wilkinson1, Roberta E Goldman2, Jeffrey Borkan2
1From the Department of Family Medicine, Warren Alpert Medical School of Brown University (JEW, REG, JB); Program in Gerontology and Rhode Island Geriatric Education Center, University of Rhode Island (CF, PC). jwilkmd@gmail.com.
Background:
The Medicare Annual Wellness Visit (AWV) has high potential value depending on its implementation and clinical setting. We studied the perceived value of the AWV in a residency clinic providing care for underserved patients.
Methods:
Qualitative interviews with both physicians and patients with deidentified transcription and immersion-crystallization analysis.
Results:
Physicians and patients identified the following learning points: 1) preparing patients for the AWV; 2) aligning expectations and agenda; and 3) optimizing the value of the AWV given patients' competing demands.
Discussion:
The Medicare AWV is a promising tool but needs thoughtful implementation to make it valuable in underserved trainee settings.
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