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Guided Care participants rate quality of health care high
Date:1/19/2010

Chronically ill older adults who are closely supported by a nurse-physician primary care team are twice as likely to rate their health care as high-quality than those who receive usual care, according to a study by researchers at the Johns Hopkins Bloomberg School of Public Health. The research, published online in the latest edition of the Journal of General Internal Medicine, found that after 18 months of a randomized controlled trial, Guided Care recipients rated their primary care significantly higher than usual care recipients with regard to coordination with specialists, support for self-management, and help received with setting goals, making decisions and solving health-related problems. Guided Care patients were also 70 percent more likely to rate the time they had to wait for an appointment when sick as "excellent" or "good", and 50 percent more likely to rate the ability to get phone advice as "excellent" or "good."

"These findings show that Guided Care can improve many of the important dimensions of care quality," said Cynthia M. Boyd, MD, MPH, lead author of the study and assistant professor in the Department of Medicine at the Johns Hopkins University School of Medicine and the Department of Health Policy and Management at the Bloomberg School of Public Health. "Improving chronic care is not just about reducing cost, but it also includes improving the quality of the care that patients receive."

Previously published data suggested that, compared to usual care patients, Guided Care patients tended to spend less time in hospitals and skilled nursing facilities and had fewer emergency room visits and home health episodes, producing an annual net savings for health care insurers (after accounting for the costs of Guided Care) of $1,365 (11 percent) per patient, or $75,000 per nurse. Other studies have shown that Guided Care reduces family caregiver strain and improves physicians' satisfaction with chronic care.

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Contact: Tim Parsons
tmparson@jhsph.edu
410-955-7619
Johns Hopkins University Bloomberg School of Public Health
Source:Eurekalert

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