Key result
The CHCC group outpatient model reduced hospital admissions (P=0.012) and emergency visits (P=0.008) compared to usual care, and lowered costs by $41.80 per member per month.
Why the study?
Does a group outpatient visit model reduce healthcare utilization and improve patient-reported outcomes in chronically ill older HMO patients?
Population
294 adults aged 60 and older with 11 or more outpatient visits in the prior 18 months, one or more…
Comparison
Cooperative Health Care Clinic group outpatient… vs Usual care.
Design
RCT, randomized
Follow-up
2 years
Authors
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Supports group outpatient models for older HMO patients with chronic illness; extends evidence for reducing utilization in integrated care settings.
RCT (n=294)
randomized
Does a group outpatient visit model reduce healthcare utilization and improve patient-reported outcomes in chronically ill older HMO patients?
A group outpatient visit model for chronically ill older adults reduced hospitalizations and emergency visits while improving patient satisfaction and quality of life.
Scott et al. (2004) conducted an RCT in chronically ill (n=294). Cooperative Health Care Clinic (CHCC) group outpatient model vs. Usual care was evaluated on Differences in clinic visits, inpatient admissions, emergency room visits, hospital outpatient services, professional services, home health, and skilled nursing facility admissions. The CHCC group outpatient model reduced hospital admissions (P=0.012) and emergency visits (P=0.008) compared to usual care, and lowered costs by $41.80 per member per month.
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