The Medical Home Initiative in Italy: an Analysis of Changes in Healthcare Utilization.

ABSTRACT:

Background

Seventeen medical homes (MHs) were established in the Local Health Authority (LHA) of Parma (about 450,000 residents), Emilia Romagna, Italy, between 2011 and 2016.

Objective

To estimate the effects of MH implementation on healthcare utilization.

Design

We conducted a longitudinal cohort study (01/2011-12/2017) using the Parma LHA administrative healthcare database.

Participants

Residents for ≥1 year and older than 14 years of age with a documented primary care physician (PCP) in Parma LHA.

Intervention

MH exposure status was classified for each resident as either receiving care from a PCP that (1) eventually practices in an MH (pre-MH), (2) is currently in an MH (post-MH), or (3) does not join an MH (non-MH).

Main outcome measures

Risk

SUBMITTER: Keith SW 

PROVIDER: S-EPMC9085979 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature