Research brief: Primary care strategies to improve health of chronic disease patients

October 02, 2018

Improving primary care for patients with chronic illness is critical to improving healthcare quality, value and patient experience. Primary care providers are participating in several new payment models that emphasize quality and value. However, little is known about whether and how participation in these programs affects care delivery, specifically for patients with chronic needs.

Dori Cross, an assistant professor in the School of Public Health at the University of Minnesota, worked with a team of researchers to conduct in-depth interviews with 14 primary care practices participating in value-based payment models. The findings were recently published in the journal Healthcare.

Of those interviewed, half of the practices had improved patient outcomes over time for their chronic disease patients (based on administrative claims data) and half did not.

Researchers identified several strategies that differentiated practices with improved performance for chronic disease patients. Practices had to balance immediate care delivery needs while also creating new adaptive structures and processes to better respond to changing pressures and demands.

Key strategies generated long-term value to practices by strengthening:

- access and receptivity to new ideas for care delivery through external learning opportunities;

- efforts to foster intrinsic motivation among providers and staff;

- pursuit of new staffing and workflow models that integrated care management while delegating administrative requirements to external supporting organizations.

"Practices are serving an increasingly complex population while simultaneously complying with numerous new service and documentation requirements under value-based program models," said Cross. "Those successful at improving outcomes for chronic disease patients under these models did so by pursuing a culture of change, with strategies that emphasized adaptiveness and creative use of resources."

These findings help inform payers and primary care practices seeking evidence-based strategies to foster a stronger delivery system for patients with significant healthcare needs.
This study was funded by The Commonwealth Fund.

University of Minnesota

Related Chronic Illness Articles from Brightsurf:

Fluvoxamine may prevent serious illness in COVID-19 patients
Researchers at Washington University School of Medicine in St. Louis have completed a clinical trial suggesting that the antidepressant drug fluvoxamine may help prevent deterioration in COVID-19 patients, making hospitalization less likely.

Plasmin could be the link between COVID-19 comorbidities and serious illness
Why is the COVID-19 virus more dangerous in people with comorbidities?

Gulf war illness, chronic fatigue syndrome distinct illnesses, Georgetown study suggests
A brain imaging study of veterans with Gulf War illness (GWI) and patients with chronic fatigue syndrome (CFS) (sometimes called myalgic encephalomyelitis), has shown that the two illnesses produce distinctly different, abnormal patterns of brain activity after moderate exercise.

Young migrants at risk of mental illness
Experience of trauma, abuse and poverty puts the mental health of many young refugees at risk.

Chronic illness in childhood linked to higher rates of mental illness
Children with long-term health conditions may be more likely to experience mental illness in early adolescence than healthy children, according to new research from Queen Mary University of London.

Taming chronic inflammation may reduce illness, save lives
Scientists from 22 institutions, including UCLA, are recommending early diagnosis, prevention and treatment of severe chronic inflammation to reduce the risk of chronic disease and death worldwide.

Did a common childhood illness take down the neanderthals?
A new study suggests that the extinction of Neanderthals may be tied to persistent, life-long ear infections due to the structure of their Eustachian tubes, which are similar to those of human infants.

Addressing serious illness with a serious question to clinicians
A question: 'Would you be surprised if this patient died in the next month?' -- posed to elicit a clinician's overall impression of a patient -- produced a strong correlation.

Body and mind need care in mental illness
The 18-year life expectancy gap between people with mental illness and the general population can only be bridged by protecting patients' physical and mental health, according to a new study.

Fear of predators increases risk of illness
Predators are not only a deadly threat to many animals, they also affect potential prey negatively simply by being nearby.

Read More: Chronic Illness News and Chronic Illness Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to