Navigation Links
Hypertensive patients' specialty use changed with medical home
Date:2/3/2014

SEATTLEGroup Health studied how patients with treated hypertension used outpatient specialty care before, during, and after a primary-care redesign (the patient-centered medical home) was spread system-wide. David T. Liss, PhD, now a research assistant professor in medicine-general internal medicine and geriatrics at Northwestern University Feinberg School of Medicine, led the report in the Journal of General Internal Medicine.

"Redesigning care to a medical home seems to let primary-care teams do more, within their expertise, for their patients," Dr. Liss said. "Our results suggest this can avoid or prevent some specialty visits for patients with stable hypertension and a few co-occurring illnesses." He studied more than 36,000 patients with treated hypertension in Group Health's 26 medical centers.

Patients with hypertension and few other conditions had 27-28 percent fewer specialty visits in each of the three years after the medical home started being implemented, compared to beforehand, adjusting for potential confounders and including interaction effects. Those with some other illnesses had 9 percent fewer specialty visits during medical home implementation and 5 percent fewer specialty visits during the following year.

"In contrast, we found very different results for clinically complex patients burdened by multiple diseases in addition to hypertension," said Dr. Liss's coauthor Robert Reid, MD, PhD, a senior investigator at Group Health Research Institute, , and an adjunct professor at the University of Washington (UW) School of Public Health and Community Medicine. For those patients, specialty use was 3 percent and 5 percent higher, respectively, during the first and second years after the medical home was implemented.

"This suggests a need for more effective co-management and better 'handoffs' of complex patients by primary care teams and specialists in the 'medical neighborhood' that surrounds the medical home," Dr. Reid said.
'/>"/>

Contact: Joan DeClaire
declaire.j@ghc.org
206-287-2653
Group Health Research Institute
Source:Eurekalert

Page: 1 2

Related medicine news :

1. Low BMI is a risk factor for CVD in hypertensive patients with diabetes
2. WSU study finds overwhelming evidence of hidden heart disease in hypertensive African-Americans
3. EBRT reduces risk of subsequent mastectomy in patients with invasive breast cancer
4. Automated system could efficiently identify high-risk osteoporosis patients
5. Study examines repeat colonoscopy in patients with polyps referred for surgery without biopsy-proven cancer
6. Music therapys positive effects on young cancer patients coping skills, social integration
7. Patients receiving ADT should be counseled to improve mental and emotional well-being
8. Getting a cancer drug to patients takes both scientific and business smarts
9. UCLA researchers develop risk calculator to predict survival in heart failure patients
10. 5 physicians honored for outstanding care of patients near the end of life
11. ROI grants $200,000 to evaluate the value of RT and patient outcomes among lung cancer patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/20/2014)... has been chosen by Plymouth University to be an ... April 2009 to raise awareness of, and funding for, ... brain tumour patients. , A range of events and ... the charity, and members of staff and students, as ... donate, fundraise and volunteer. The involvement of the wider ...
(Date:8/20/2014)... 20, 2014 According to a ... technology (Electrochromics, SPD, Liquid Crystal, Microblinds, Thermographic and ... Electronics & others), by geography - Global Forecast ... value of Smart glass market was worth $1581.4 ... $5814 Million by 2020, at an estimated CAGR ...
(Date:8/20/2014)... Fresh from the cradle of a world-class running city, an ... , Urbini, a new collection of versatile baby gear from ... jogger to its lineup. , The Avi has been in ... the latest racing styles and a set of features to ... a swift, smooth ride on runs, power-walks and causal strolls. ...
(Date:8/20/2014)... Doctors at the University of Hong Kong claim to have ... by injecting them with a vaccine that changes their DNA. ... its website. Click here to read the full article ... of Microbiology created a vaccine using a protein called “programmed ... vaccine is designed to prevent mesothelioma cells from disabling the ...
(Date:8/20/2014)... Milwaukee, WI (PRWEB) August 20, 2014 ... ready. While the transition from summer months means buying ... important element that is often a forgotten part of ... health. , According to the American Psychological Association, 27% ... school year. Nearly half (45%) say they are stressed ...
Breaking Medicine News(10 mins):Health News:Plymouth University chooses Brain Tumour Research as official charity 2Health News:Smart Glass Market by Technology Worth $5814 Million by 2020 – New Report by MarketsandMarkets 2Health News:Smart Glass Market by Technology Worth $5814 Million by 2020 – New Report by MarketsandMarkets 3Health News:Smart Glass Market by Technology Worth $5814 Million by 2020 – New Report by MarketsandMarkets 4Health News:Smart Glass Market by Technology Worth $5814 Million by 2020 – New Report by MarketsandMarkets 5Health News:Urbini Breezes Through Summer with New Jogging Stroller 2Health News:New Research Study Finds Vaccine Stops Mesothelioma in Lab Mice, According to Surviving Mesothelioma Website 2Health News:Five Easy Steps to Help Your Child Manage Back-to-school Stress 2Health News:Five Easy Steps to Help Your Child Manage Back-to-school Stress 3
... session of,the New York Court of Appeals on October ... year and an economic tsunami, this state,s top,court, the ... the appeal of,Kathryn Jordan v. Bates Advertising 118785-99, an ... Sclerosis. The appeal was,filed by Jordan after the First ...
... yet another sign of,Kansas, leadership in addressing global challenges ... scientists from around the globe are,coming together this week ... diseases, which are diseases that can be transmitted,from animals ... from as far away as Japan,Israel, The Netherlands, Italy, ...
... by the U.S. Food and Drug Administration (FDA) for a new ... moderate to severe postmenopausal dyspareunia (painful sexual intercourse) announced Wyeth Pharmaceuticals, ... ... Pa. (Business Wire EON) November 13, 2008 -- "This approval ...
... Nov. 13 At a time when industry,retrenchment, ... a specialty,pharmaceutical company located outside Philadelphia is experiencing ... establishment,of a new division, FemmePharma Mental Healthcare, Central ... (CNS) disorders in women., "We are energized ...
... had nutrients that didn,t contain it, researchers say , , THURSDAY, ... fast-food meals begin with a single ingredient: corn. , Researchers ... and Burger King. , "We found that corn is not ... it is the basis of all fast food," said study ...
... join forces to provide superior customer care, ... Vendor,Service announced today that it will form a ... leaders in the ultrasound transducer repair,industry., (Logo: ... together two of the most reputable,high-quality service providers ...
Cached Medicine News:Health News:Top NY Court Blinks in 'First Department' WPP Discrimination Power Play 2Health News:Top NY Court Blinks in 'First Department' WPP Discrimination Power Play 3Health News:Top NY Court Blinks in 'First Department' WPP Discrimination Power Play 4Health News:Top NY Court Blinks in 'First Department' WPP Discrimination Power Play 5Health News:Leading Scientists From Around the World Headed to Kansas for Symposium on Combating Deadly Infectious Diseases 2Health News: FDA Approves Low-dose Regimen of PREMARIN Vaginal Cream to Treat Moderate to Severe Postmenopausal Dyspareunia – Painful Sexual Intercourse : Agency Grants New Indication for Bothersome Vaginal Symptom Associated with Menopause 2Health News: FDA Approves Low-dose Regimen of PREMARIN Vaginal Cream to Treat Moderate to Severe Postmenopausal Dyspareunia – Painful Sexual Intercourse : Agency Grants New Indication for Bothersome Vaginal Symptom Associated with Menopause 3Health News: FDA Approves Low-dose Regimen of PREMARIN Vaginal Cream to Treat Moderate to Severe Postmenopausal Dyspareunia – Painful Sexual Intercourse : Agency Grants New Indication for Bothersome Vaginal Symptom Associated with Menopause 4Health News:In a Down Economy, Women's Health Company Announces Growth 2Health News:Traces of Corn Found in Almost All Fast Food 2Health News:MEDRAD Multi Vendor Service Forms Alliance with Wetsco 2Health News:MEDRAD Multi Vendor Service Forms Alliance with Wetsco 3
(Date:8/20/2014)... , Aug. 20, 2014   Ventana Medical ...  Group, today announced that its VENTANA System for ... in the European Union for routine pathology, including ... consisting of VENTANA Virtuoso software coupled with either ... HT slide scanner, provides automated digital slide creation, ...
(Date:8/20/2014)... and PHOENIX , ... established to bring cutting-edge next-generation sequencing and proteomic ... patients, today announced a collaboration with TESARO, Inc.  ... characterize patient tissue samples from clinical trials to ... resistant to TESARO,s TSR-011.  This may lead to more ...
(Date:8/20/2014)... , Aug. 20, 2014 Reportlinker.com announces that ... catalogue: Global Feminine Hygiene Products Industry ... analyzes the worldwide markets for Feminine Hygiene Products in ... Tampons, Panty liners, and Others. The report provides separate ... , Japan , Europe ...
Breaking Medicine Technology:Full digitization of the anatomic pathology lab is here with the VENTANA System for Primary Diagnosis 2Full digitization of the anatomic pathology lab is here with the VENTANA System for Primary Diagnosis 3Paradigm Announces Molecular Profiling Collaboration with TESARO, Inc. 2Global Feminine Hygiene Products Industry 2Global Feminine Hygiene Products Industry 3Global Feminine Hygiene Products Industry 4Global Feminine Hygiene Products Industry 5Global Feminine Hygiene Products Industry 6Global Feminine Hygiene Products Industry 7Global Feminine Hygiene Products Industry 8Global Feminine Hygiene Products Industry 9Global Feminine Hygiene Products Industry 10Global Feminine Hygiene Products Industry 11Global Feminine Hygiene Products Industry 12Global Feminine Hygiene Products Industry 13Global Feminine Hygiene Products Industry 14Global Feminine Hygiene Products Industry 15Global Feminine Hygiene Products Industry 16Global Feminine Hygiene Products Industry 17Global Feminine Hygiene Products Industry 18Global Feminine Hygiene Products Industry 19Global Feminine Hygiene Products Industry 20Global Feminine Hygiene Products Industry 21Global Feminine Hygiene Products Industry 22Global Feminine Hygiene Products Industry 23Global Feminine Hygiene Products Industry 24Global Feminine Hygiene Products Industry 25Global Feminine Hygiene Products Industry 26
... reference laboratory and a worldwide leader in ... an extensive test menu of highly complex ... anatomic pathology. Owned by the University of ... half of the nation's university teaching hospitals ...
... reference laboratory and a worldwide leader in ... an extensive test menu of highly complex ... anatomic pathology. Owned by the University of ... half of the nation's university teaching hospitals ...
... a national reference laboratory and a worldwide ... ARUP offers an extensive test menu of ... clinical and anatomic pathology. Owned by the ... more than half of the nation's university ...
... reference laboratory and a worldwide leader in ... an extensive test menu of highly complex ... anatomic pathology. Owned by the University of ... half of the nation's university teaching hospitals ...
Medicine Products: