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:9/21/2014)... 2014 Expert witness work is in! ... from its 2014 Expert Witness Fees & Practices Survey. ... demand and compensation for qualified and credentialed expert witnesses ... 16-year history. , The nearly 600 experts surveyed ... expert work, an increase of 3.2% from ExpertPages’ 2012 ...
(Date:9/21/2014)... "I wanted to be able to obtain ... foul-tasting energy drinks," said an inventor from Fresh Meadows, ... drink plain, old coffee. That is why I came ... ENERG CHEWING GUM to provide a healthy energy boost ... contains nutritious vitamins, minerals and antioxidants. It also features ...
(Date:9/21/2014)... September 21, 2014 "I want to ... and back but haven’t the money for chiropractors," said ... to have such a product for myself." , The ... to stretch the thigh muscles and align the spine ... as relieves discomfort of pinched nerves. Compact and easy ...
(Date:9/21/2014)... (PRWEB) September 21, 2014 Best Cheap ... recently announced that Arvixe, Bluehost and GreenGeeks are the ... to find a good reseller hosting supplier. Actually, these ... server speed and customer support. People can get the ... manager says. , According to the manager, reseller ...
(Date:9/21/2014)... To accommodate the ever-growing customer base, Angeldress.co.uk decided ... items. Recently, the company has unveiled its 2014 ... elegant wedding gowns, Angeldress.co.uk wants to make sure that ... easy way. Its high quality vintage wedding outfits are ... to 62% off. , Online shopping is becoming more ...
Breaking Medicine News(10 mins):Health News:ExpertPages 2014 Survey Reports Expert Witness Hourly Fees Record All-Time Highs as Demand for Qualified Experts Continues to Grow 2Health News:Best Cheap Hosting USA Announces The Best Reseller Hosting Suppliers In 2014 2Health News:Angeldress.co.uk Launches New Range Of 2014 Vintage Wedding Dresses In Its Online Store 2
... Nov. 17 Shopko Stores Operating Co., LLC announced the ... www.shopko.com . Shopko partnered with SpeedFC, a ... advance the Company,s online selling initiatives. , The new online ... in apparel, home, accessories, gift cards and more. The site ...
... is one of 12 sites nationwide participating in the ... treatment for Alzheimer,s disease. The study is the first ... The experimental treatment utilizes a viral-based gene transfer ... naturally occurring protein that helps maintain nerve cell survival ...
... a new model of comprehensive health care for people ... Economics Award for Innovation in Practice Improvement from the ... Teachers of Family Medicine (STFM) and Medical Economics magazine. ... the Guided Care study and director of the Roger ...
... Hughes Medical Institute (HHMI) today committed four years, ... program between Rice University and the University of ... program -- founded with a 2006 HHMI grant ... bioengineering program and M.D. Anderson,s internationally renowned clinical ...
... ... successfully blended custom EDM machining and lights-out automation for greater speed and accuracy for ... are critical to optimized performance. , ... Tucker, GA (PRWEB) November 17, 2009 -- A proprietary new technology ...
... might help reduce heart attacks, researchers say , ... soybeans boosts levels of an important omega-3 fatty acid in ... U.S. researchers say. , They created soybeans that produce oils ... body into an omega-3 fatty acid called eicosapentaenoic acid (EPA). ...
Cached Medicine News:Health News:Shopko Announces Launch of e-Commerce Platform 2Health News:Mount Sinai researchers to test first gene therapy For Alzheimer's patients 2Health News:'Guided Care' receives Award for Innovation in Practice Improvement 2Health News:New funds for Rice, M.D. Anderson program 2Health News:Proprietary EDM Machining Technology Boosts Speed and Accuracy for Medical Components 2Health News:Biotech Soybeans Good Source of Omega-3 2
(Date:9/19/2014)... , Sept. 19, 2014  Diplomat, the nation,s largest ... David Dreyer to the Board of Directors on ... and will also serve as chair of the Audit ... years of accounting, financial, compliance and operating experience in ... has served as chief financial officer, chief operating officer ...
(Date:9/19/2014)... WOONSOCKET, R.I. , Sept. 19, 2014 Five MinuteClinic ... Memphis metropolitan area. Three clinics opened in ... earlier this month. A fourth clinic will be added in ... in Bartlett is expected to open October ... medical clinics in the United States . ...
(Date:9/19/2014)... According to market research ... Industrial, & Laboratory), Industry (Food, Pharmaceutical, Biotechnology, Surgical ... & Geography - Global Trends & Forecast to ... lyophilization market on the basis of various types, ... the market size of each of these segments ...
Breaking Medicine Technology:David Dreyer Appointed to Diplomat Board of Directors 2MinuteClinic Walk-in Medical Clinics Opening in Memphis 2MinuteClinic Walk-in Medical Clinics Opening in Memphis 3Lyophilization Market Worth $5,121.5 Million by 2019 2Lyophilization Market Worth $5,121.5 Million by 2019 3
... Inc., (Ticker: AVTC) ( www.autoretail.com ), is a leading ... for use in hospitals, pharmacies, medical offices and clinics. ... reduce and even eliminate prescription medicine dispensing errors.   ... of Pharmacy Practice reviewed 60 research papers that analyzed ...
... of reusable medical device cleaning validations, resulting from the U.S. ... CFR 610 , is discussed in a new management brief ... . The FDA,s proposed amendments to 21 CFR ... Register on June 21, 2011, for review and comment, ...
Cached Medicine Technology:Automated Medicine Dispensing Units Developed by AVT Can Reduce Errors 2Summary of Proposed Changes to 21 CFR 610 is Detailed in New Management Brief from Microtest Laboratories 2
... Axiovert 40 inverted ... you have ever expected from a microscope in ... outstanding quality, and functionality. Axiovert 40 has been ... safe as possible thus increasing the efficiency ...
... is an advanced inverted microscope ... exclusive CFI60 optical system, extendible ... it ideal for high precision, ... inverted microscope to take full ...
... Eclipse TE2000E is an advanced inverted microscope ... five imaging ports, high resolution CFI60 optics, ... perfect imaging workstation. In addition, its super-nanoprecision ... control is perfect for precise imaging in ...
... The IX71's modular frame ... 9 access ports for ... devices. Up to four ... access to a primary ...
Medicine Products: