In a retrospective cohort study, Edwards et al characterize the association between enrollment in Home-Based Primary Care, a program operated by the Department of Veterans Affairs, and hospitalizations owing to an ambulatory care–sensitive condition among older veterans with diabetes mellitus. See the Invited Commentary by Federman and Soriano.
This cluster randomized effectiveness trial finds that home health care nurses can effectively integrate depression care management into routine practice among patients with moderate to severe depression. See the Invited Commentary by Lyketsos.
Rosenthal and coauthors evaluate the effects of the pilot program of a multipayer patient-centered medical home on health care utilization and quality. See the Invited Commentary by Grumbach.
Nelson et al create an index that measures the extent of patient-centered medical home implementation, describe variation in implementation, and examine the association between the implementation index and key outcomes. See also the invited commentary by Baron.
This randomized parallel group study reports that the provision of in-home asthma self-management support by community health workers to low-income adults with uncontrolled asthma improves asthma control and quality of life but not unscheduled health care use.
To test the patient-centered medical home (PCMH) model in a teaching setting, Hochman et al implemented an intervention guided by PCMH principles at a safety-net teaching clinic with resident physician providers and measured the effect on patient and resident satisfaction. See also the invited commentary by Margolius.
This cohort study examines associations between medical clinician continuity and health care testing, utilization, and spending of older adults with dementia..
This cohort study of Medicare hospice beneficiaries examines individual characteristics, hospice program, and geographic variation in patient visits by professional staff during the last 2 days of life.
Cross-sectional data from the National Health and Aging Trends Study were used to develop measures of the frequency of leaving and ability to leave the home and to use these measures to estimate the homebound population in the US population.
This cross-sectional survey study measures changes in outpatient quality and patient experience in the United States from 2002 to 2013 to determine whether efforts to improve outpatient quality have been successful.