Key result
Community health centres significantly increased the likelihood of patients with diabetes receiving two hemoglobin A1c tests compared to fee-for-service practices (69% vs 45%, AOR 2.4).
Why the study?
Does the primary care delivery model improve adherence to preventive cardiovascular care guidelines in patients with or at high risk of cardiovascular disease?
Population
4,808 patients with or at high risk of developing cardiovascular disease from 82 primary care practices in…
Comparison
Alternative primary care delivery models… vs Traditional fee-for-service primary care practices
Design
Cross-sectional
Authors
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May support community health centres for diabetes monitoring; leaves open causal effects on cardiovascular outcomes.
Cross-Sectional (n=4,808)
Yes
Does the primary care delivery model improve adherence to preventive cardiovascular care guidelines in patients with or at high risk of cardiovascular disease?
Effect estimate: AOR 2.4 (95% CI 1.4-4.2)
Absolute Event Rate: 69% vs 45%
p-value: p=0.001
Primary care delivery models impact the quality of preventive cardiovascular care, with blended-capitation and community health centres outperforming traditional fee-for-service practices in diabetes care, weight management, and smoking cessation.
Liddy et al. (2011) conducted a cross-sectional in Cardiovascular disease or high risk of developing cardiovascular disease (n=4,808). Community health centres (salary-based physicians) vs. Fee-for-service practices was evaluated on Receipt of two hemoglobin A1c tests during the study year among patients with diabetes (AOR 2.4, 95% CI 1.4-4.2, p=0.001). Community health centres significantly increased the likelihood of patients with diabetes receiving two hemoglobin A1c tests compared to fee-for-service practices (69% vs 45%, AOR 2.4).
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