Primary Care. Managing Chronic Illness: Physician Practices Increased The Use Of Care Management And Medical Home Processes.

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  • Additional Information
    • Subject Terms:
    • NAICS/Industry Codes:
      621111 Offices of Physicians (except Mental Health Specialists)
      621498 All Other Outpatient Care Centers
      621110 Offices of physicians
    • Abstract:
      The effective management of patients with chronic illnesses is critical to bending the curve of health care spending in the United States and is a crucial test for health care reform. In this article we used data from three national surveys of physician practices between 2006 and 2013 to determine the extent to which practices of all sizes have increased their use of evidence-based care management processes associated with patient-centered medical homes for patients with asthma, congestive heart failure, depression, and diabetes. We found relatively large increases over time in the overall use of these processes for small and medium-size practices as well as for large practices. However, the large practices used fewer than half of the recommended processes, on average. We also identified the individual processes whose use increased the most and show that greater use of care management processes is positively associated with public reporting of patient experience and clinical quality and with pay-for-performance. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Professor, Institute for Health Policy Studies, University of California, San Francisco (UCSF)
      2Associate professor, Department of Family and Community Medicine, UCSF
      3Blue Cross of California Distinguished, Professor of Health Policy and Management, University of California, Berkeley
      4Faculty director, Center for Healthcare Organizational and Innovation Research (CHOIR), School of Public Health, University of California, Berkeley
      5Professor, organizational behavior, Haas School of Business, University of California, Berkeley
      6Livingston Farrand Professor, Department of Public Health, Weill Cornell Medical College, New York City
      7Research specialist, CHOIR, School of Public Health, UC Berkeley
      8Administrative director, CHOIR, School of Public Health, UC Berkeley
      9Research analyst, School of Public Health, UC Berkeley
      10Associate professor, public health, University of Michigan, Ann Arbor
      11Snior vice president, NORC, University of Chicago, Bethesda, Maryland
      12Director, statistics and methodology, NORC, University of Chicago, Bethesda, Maryland
      13Professor emeritus, University of Michigan, Ann Arbor
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2014.0404
    • Accession Number:
      100345991
  • Citations
    • ABNT:
      WILEY, J. A. et al. Primary Care. Managing Chronic Illness: Physician Practices Increased The Use Of Care Management And Medical Home Processes. Health Affairs, [s. l.], v. 34, n. 1, p. 77–86, 2015. Disponível em: . Acesso em: 21 out. 2019.
    • AMA:
      Wiley JA, Rittenhouse DR, Shortell SM, et al. Primary Care. Managing Chronic Illness: Physician Practices Increased The Use Of Care Management And Medical Home Processes. Health Affairs. 2015;34(1):77-86. doi:10.1377/hlthaff.2014.0404.
    • APA:
      Wiley, J. A., Rittenhouse, D. R., Shortell, S. M., Casalino, L. P., Ramsay, P. P., Bibi, S., … Alexander, J. A. (2015). Primary Care. Managing Chronic Illness: Physician Practices Increased The Use Of Care Management And Medical Home Processes. Health Affairs, 34(1), 77–86. https://doi.org/10.1377/hlthaff.2014.0404
    • Chicago/Turabian: Author-Date:
      Wiley, James A., Diane R. Rittenhouse, Stephen M. Shortell, Lawrence P. Casalino, Patricia P. Ramsay, Salma Bibi, Andrew M. Ryan, Kennon R. Copeland, and Jeffrey A. Alexander. 2015. “Primary Care. Managing Chronic Illness: Physician Practices Increased The Use Of Care Management And Medical Home Processes.” Health Affairs 34 (1): 77–86. doi:10.1377/hlthaff.2014.0404.
    • Harvard:
      Wiley, J. A. et al. (2015) ‘Primary Care. Managing Chronic Illness: Physician Practices Increased The Use Of Care Management And Medical Home Processes’, Health Affairs, 34(1), pp. 77–86. doi: 10.1377/hlthaff.2014.0404.
    • Harvard: Australian:
      Wiley, JA, Rittenhouse, DR, Shortell, SM, Casalino, LP, Ramsay, PP, Bibi, S, Ryan, AM, Copeland, KR & Alexander, JA 2015, ‘Primary Care. Managing Chronic Illness: Physician Practices Increased The Use Of Care Management And Medical Home Processes’, Health Affairs, vol. 34, no. 1, pp. 77–86, viewed 21 October 2019, .
    • MLA:
      Wiley, James A., et al. “Primary Care. Managing Chronic Illness: Physician Practices Increased The Use Of Care Management And Medical Home Processes.” Health Affairs, vol. 34, no. 1, Jan. 2015, pp. 77–86. EBSCOhost, doi:10.1377/hlthaff.2014.0404.
    • Chicago/Turabian: Humanities:
      Wiley, James A., Diane R. Rittenhouse, Stephen M. Shortell, Lawrence P. Casalino, Patricia P. Ramsay, Salma Bibi, Andrew M. Ryan, Kennon R. Copeland, and Jeffrey A. Alexander. “Primary Care. Managing Chronic Illness: Physician Practices Increased The Use Of Care Management And Medical Home Processes.” Health Affairs 34, no. 1 (January 2015): 77–86. doi:10.1377/hlthaff.2014.0404.
    • Vancouver/ICMJE:
      Wiley JA, Rittenhouse DR, Shortell SM, Casalino LP, Ramsay PP, Bibi S, et al. Primary Care. Managing Chronic Illness: Physician Practices Increased The Use Of Care Management And Medical Home Processes. Health Affairs [Internet]. 2015 Jan [cited 2019 Oct 21];34(1):77–86. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=100345991&custid=s8280428