Department of Public Health Sciences, University of Chicago, Chicago, Illinois (Dr Cliff); Division of Health Policy and Administration, University of Illinois Chicago School of Public Health, Chicago (Mss Siegel and Edmiston and Dr Stiehl); and Tapestry 360 Health, Chicago, Illinois (Drs Panzer and Patel and Ms Deis).
J Ambul Care Manage. 2024;47(1):33-42. doi: 10.1097/JAC.0000000000000484.
In a federally qualified health center, we assess a novel primary care delivery model, advanced team-based care (aTBC), that embeds care team members in patient visits. Using a difference-in-differences research design, we measure visit intensity, compliance with preventive care recommendations, and health outcomes among patients in the aTBC model compared with patients in a traditional team-based delivery model. We find increases in receipt of some recommended preventive care and in visit intensity, but no change in health outcomes. The aTBC model may improve some dimensions of care quality for low-income, vulnerable populations.
在一个符合联邦资格的健康中心，我们评估了一种新型的初级保健提供模式，即高级团队为基础的护理（aTBC），该模式将护理团队成员嵌入到患者就诊中。我们使用差异中的差异研究设计，比较了 aTBC 模型中的患者与传统团队为基础的交付模式中的患者的就诊强度、预防保健建议的依从性和健康结果。我们发现一些推荐的预防保健服务和就诊强度有所增加，但健康结果没有变化。aTBC 模式可能会提高低收入、弱势人群的某些护理质量维度。
