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January/February 2012 Annals of Family Medicine
Date:1/9/2012

al home health care redesign efforts in the United States. Analyzing nationally representative data on 52,241 patients aged 18 to 90 years from the Medical Expenditure Panel Survey, researchers found patients' primary care attributes scores (which measured to what degree the patients' usual source of care had the three primary care attributes) were inversely associated with mortality with greater reported patient access to the studied attributes associated with lower mortality (adjusted hazard ratio 0.79 during up to six years of follow-up.) Adoption of these attributes, the authors conclude, may have the potential to reduce preventable deaths. They also believe their findings may have important implications for the medical home movement because the attributes studied all feature prominently in the blueprints for primary care practice redesign. Notably, the researchers also found evidence of social and demographic disparities in access to the primary care attributes racial/ethnic minorities, poorer and less educated individuals, and those without health insurance reported significantly lower access to the attributes. The authors call for interventions that promote equitable access to these primary care attributes.

Primary Care Attributes and Mortality: A National Person-Level Study

By Anthony Jerant, MD, et al

University of California, Davis

Intervention Improves Care for Complex Patients with Diabetes, Heart Disease and Depression

Complex patients with multiple chronic illnesses are source of significant suffering and great cost to the health care system. Researchers describe the positive effect of a team-based care management intervention on the initiation and adjustment of drug therapy for patients with uncontrolled diabetes and/or coronary heart disease and depression. The randomized controlled trial of 214 patients with poorly controlled diabetes or coronary heart disease and coexisting depression found patients in the interv
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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