A matched-pair cluster-randomized trial of guided care for high-risk older patients.

ABSTRACT:

Background

Patients at risk for generating high health care expenditures often receive fragmented, low-quality, inefficient health care. Guided Care is designed to provide proactive, coordinated, comprehensive care for such patients.

Objective

We hypothesized that Guided Care, compared to usual care, produces better functional health and quality of care, while reducing the use of expensive health services.

Design

32-month, single-blind, matched-pair, cluster-randomized controlled trial of Guided Care, conducted in eight community-based primary care practices.

Patients

The "Hierarchical Condition Category" (HCC) predictive model was used to identify high-risk older patients who were insured by fee-for-service Medicare, a Medicare Advantage plan or Tricare. Patie

SUBMITTER: Boult C 

PROVIDER: S-EPMC3631081 | biostudies-literature | 2013 May

REPOSITORIES: biostudies-literature