Health Systems Research & Development, VA Puget Sound Health Care System, Seattle, Washington (Drs Schuttner and Wong); Department of Medicine, University of Washington School of Medicine, Seattle (Dr Schuttner); VA Greater Los Angeles Healthcare System, Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), Los Angeles, California (Ms Guo and Drs Jimenez and Chang); Division of General Internal Medicine, Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles (Ms Guo and Drs Jimenez and Chang); Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle (Dr Wong); VA Northeast Ohio Healthcare System, Cleveland, and Case Western Reserve University School of Medicine, Cleveland, Ohio (Dr Klein); Salisbury W.G. Hefner VA Medical Center, Salisbury, North Carolina (Dr Roy); VA Center for Health Equity Research & Promotion, VA Pittsburgh Healthcare System, Pittsburgh, and Department of Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (Dr Rosland); and Division of General Internal Medicine, Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, California (Dr Chang).
J Ambul Care Manage. 2023;46(1):45-53. doi: 10.1097/JAC.0000000000000428. Epub 2022 Aug 27.
Intensive management programs may improve health care experiences among high-risk and complex patients. We assessed patient experience among (1) prior enrollees (n = 59) of an intensive management program (2014-2018); (2) nonenrollees (n = 356) at program sites; and (3) nonprogram site patients (n = 728), using a patient survey based on the Consumer Assessment of Healthcare Providers and Systems in 2019. Outcomes included patient ratings of patient-centered care; overall health care experience; and satisfaction with their usual outpatient care provider. In multivariate models, enrollees were more satisfied with their current provider versus nonenrollees within program sites (adjusted odds ratio 2.36; 95% confidence interval 1.15-4.85).
强化管理计划可能会改善高风险和复杂患者的医疗体验。我们评估了（1）强化管理计划的前参与者（n=59）（2014-2018 年）；（2）计划点的非参与者（n=356）；和（3）非计划点患者（n=728）的患者体验，使用基于 2019 年医疗保健提供者和系统消费者评估的患者调查。结果包括患者对以患者为中心的护理的评分；整体医疗体验；以及对其常规门诊护理提供者的满意度。在多变量模型中，与计划点的非参与者相比，参与者对其当前提供者的满意度更高（调整后的优势比 2.36；95%置信区间 1.15-4.85）。
