Retrospective cohort study shows improved preventive care in adults with sickle cell disease through embedded PCP model, suggesting better management.
Key Points
To evaluate if embedding a primary care provider improves adherence to clinical guidelines and reduces healthcare utilization in adults with sickle cell disease.
Retrospective cohort study conducted at a tertiary care center from July 2020 to June 2025.
388 adults with sickle cell disease, 174 of whom received care from an embedded primary care provider.
Analysis of adherence to preventive care guidelines and healthcare utilization metrics before and after PCP embedding.
Patients with the embedded PCP showed higher adherence to preventive care measures (e.g., cervical cancer screening OR: 4.49; 95% CI: 2.46, 8.23).
Annual outpatient visits increased significantly (4.2 after PCP vs 2.7 before PCP, p < 0.0001).
Fewer inpatient admissions were observed, though not statistically significant (1.4 after PCP vs 1.9 before PCP, p = 0.4869).
Cite This Study
Della‐Moretta et al. (2026) studied this question.